03D2123781 CLIA NUMBER - Banner Physician Specialists Arizona Llc

Laboratory Demographics

CLIA Number: 03D2123781

Facility Name: Banner Physician Specialists Arizona Llc

Facility Address:
4720 E Greenway Rd,
Phoenix, AZ
ZIP 85032
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Facility Phone Number: (602) 439-6000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2123781
LAB Type PHYSICIAN OFFICE
Facility Name Banner Physician Specialists Arizona Llc
Street 4720 E Greenway Rd,
City Phoenix
State AZ
ZIP 85032
Phone 6024396000

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