03D2128610 CLIA NUMBER - Banner Occupational Health - Arizona L

Laboratory Demographics

CLIA Number: 03D2128610

Facility Name: Banner Occupational Health - Arizona L

Facility Address:
1101 N Wilmot Rd Ste 101
Tucson, AZ
ZIP 85712
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Facility Phone Number: (520) 694-2550

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1407414493

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2128610
LAB Type OTHER
Facility Name Banner Occupational Health - Arizona L
Street 1101 N Wilmot Rd Ste 101
City Tucson
State AZ
ZIP 85712
Phone (520) 694-2550

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