03D2125175 CLIA NUMBER - Banner Urgent Care Services Llc

Laboratory Demographics

CLIA Number: 03D2125175

Facility Name: Banner Urgent Care Services Llc

Facility Address:
5018 N 7th St,
Phoenix, AZ
ZIP 85014
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Facility Phone Number: (602) 255-7680

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1669944294
261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2125175
LAB Type	OTHER
Facility Name	Banner Urgent Care Services Llc
Street	5018 N 7th St,
City	Phoenix
State	AZ
ZIP	85014
Phone	6022557680

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