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

Taxonomy: 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	(520) 694-6600

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This page was last updated on: 5/11/2023