03D2131780 CLIA NUMBER - BANNER UNION HILLS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 03D2131780
  • Facility Name: BANNER UNION HILLS SURGERY CENTER LLC
  • Facility Address: 18301 N 79TH AVE STE E150
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 487-7500
  • Facility Type: Other - SURGERY CENTER
  • Facility Type: Waiver
  • Lab Director: JOHN DAGIRMANJIAN
  • NPI Number: 1962938332
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2131780
LAB Type Other - SURGERY CENTER
Facility Name BANNER UNION HILLS SURGERY CENTER LLC
Street 18301 N 79TH AVE STE E150
City GLENDALE
State AZ
ZIP 85308
Phone 623 487-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - SURGERY CENTER
Lab Director JOHN DAGIRMANJIAN

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