03D2124351 CLIA NUMBER - Banner Urgent Care Services Llc

Laboratory Demographics

CLIA Number: 03D2124351

Facility Name: Banner Urgent Care Services Llc

Facility Address:
7089 N Thornydale,
Marana, AZ
ZIP 85658
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Facility Phone Number: (520) 694-6600

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1154893790
261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2124351
LAB Type	OTHER
Facility Name	Banner Urgent Care Services Llc
Street	7089 N Thornydale,
City	Marana
State	AZ
ZIP	85658
Phone	5206946600

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