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, 3RD FLOOR
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, 3RD FLOOR
City	GILBERT
State	AZ
ZIP	85234
Phone	(480) 256-4444

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