03D2125468 CLIA NUMBER - Banner Urgent Care Services Llc

Laboratory Demographics

CLIA Number: 03D2125468

Facility Name: Banner Urgent Care Services Llc

Facility Address:
3141 E Indian School Rd Ste 102, 103, 104,
Phoenix, AZ
ZIP 85016
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Facility Phone Number: (602) 255-7700

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1871065409
261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2125468
LAB Type OTHER
Facility Name Banner Urgent Care Services Llc
Street 3141 E Indian School Rd Ste 102, 103, 104,
City Phoenix
State AZ
ZIP 85016
Phone 6022557700

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