03D2128610 CLIA NUMBER - BANNER OCCUPATIONAL HEALTH - ARIZONA LLC

Laboratory Demographics

CLIA Number: 03D2128610

Facility Name: BANNER OCCUPATIONAL HEALTH - ARIZONA LLC

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 LLC
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: 5/11/2023