03D2131382 CLIA NUMBER - Banner Urgent Care Services LLC

Laboratory Demographics

CLIA Number: 03D2131382

Facility Name: Banner Urgent Care Services LLC

Facility Address:
1940 W Glendale Ave
Phoenix, AZ
ZIP 85021
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Facility Phone Number: (602) 255-7690

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1063984680

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2131382
LAB Type	OTHER
Facility Name	Banner Urgent Care Services LLC
Street	1940 W Glendale Ave
City	Phoenix
State	AZ
ZIP	85021
Phone	(602) 255-7690

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