03D2131382 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2131382
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 1940 W GLENDALE AVE
    PHOENIX, AZ
    ZIP 85021
  • Facility Phone: 602 255-7690
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1063984680
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2131382
LAB Type Other - URGENT CARE
Facility Name BANNER URGENT CARE SERVICES LLC
Street 1940 W GLENDALE AVE
City PHOENIX
State AZ
ZIP 85021
Phone 602 255-7690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Other - URGENT CARE
Lab Director ROBERT JOHNS

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This page was last updated on: 6/4/2025