03D2123342 CLIA NUMBER - Banner Urgent Care Services Llc

Laboratory Demographics

CLIA Number: 03D2123342

Facility Name: Banner Urgent Care Services Llc

Facility Address:
1908 E Mckellips Rd,
Mesa, AZ
ZIP 85203
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Facility Phone Number: (480) 827-5610

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1174095798
261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2123342
LAB Type OTHER
Facility Name Banner Urgent Care Services Llc
Street 1908 E Mckellips Rd,
City Mesa
State AZ
ZIP 85203
Phone 4808275610

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This page was last updated on: 5/19/2019