03D2125766 CLIA NUMBER - Banner Cancer Center Specialist LLC

Laboratory Demographics

CLIA Number: 03D2125766

Facility Name: Banner Cancer Center Specialist LLC

Facility Address:
2946 E Banner Gateway Drive, 3
Gilbert, AZ
ZIP 85234
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Facility Phone Number: (480) 256-4444

Facility Type: ANCILLARY TEST SITE

Certificate Type: Accreditation

NPI Number: 1518253152

Taxonomy: 261QX0200X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

CLIA Record

Field Name Field Value
CLIA Number 03D2125766
LAB Type ANCILLARY TEST SITE
Facility Name Banner Cancer Center Specialist LLC
Street 2946 E Banner Gateway Drive, 3
City Gilbert
State AZ
ZIP 85234
Phone (480) 256-4444

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This page was last updated on: 4/7/2021