03D2125175 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2125175
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 5018 N 7TH ST
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 602 255-7680
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1669944294
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2125175
LAB Type Other - URGENT CARE
Facility Name BANNER URGENT CARE SERVICES LLC
Street 5018 N 7TH ST
City PHOENIX
State AZ
ZIP 85014
Phone 602 255-7680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Other - URGENT CARE
Lab Director ROBERT JOHNS

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This page was last updated on: 3/20/2025