03D2131780 CLIA NUMBER - BANNER UNION HILLS SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 03D2131780

Facility Name: BANNER UNION HILLS SURGERY CENTER LLC

Facility Address:
18301 N 79TH AVE STE E150
GLENDALE, AZ
ZIP 85308
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Facility Phone Number: (623) 487-7500

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1962938332

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2131780
LAB Type	OTHER
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

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This page was last updated on: 5/11/2023