03D2164091 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2164091
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 1 N CENTRAL AVE STE 105
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 255-7650
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1245886795
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2164091
LAB Type Other - URGENT CARE CENTER
Facility Name BANNER URGENT CARE SERVICES LLC
Street 1 N CENTRAL AVE STE 105
City PHOENIX
State AZ
ZIP 85004
Phone 602 255-7650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Other - URGENT CARE CENTER
Lab Director ROBERT JOHNS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025