03D2136730 CLIA NUMBER - BANNER SUN CITY WEST SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 03D2136730

Facility Name: BANNER SUN CITY WEST SURGERY CENTER LLC

Facility Address:
14416 W MEEKER BLVD STE 103
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: (623) 285-1741

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1760907919

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2136730
LAB Type	OTHER
Facility Name	BANNER SUN CITY WEST SURGERY CENTER LLC
Street	14416 W MEEKER BLVD STE 103
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	(623) 285-1741

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