03D2232419 CLIA NUMBER - BANNER MD ANDERSON CANCER CENTER - POC TESTING

Laboratory Demographics

  • CLIA Code: 03D2232419
  • Facility Name: BANNER MD ANDERSON CANCER CENTER - POC TESTING
  • Facility Address: 2946 E BANNER GATEWAY DR
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 256-3359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYCE DURSTELER
  • NPI Number: 1306231139
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2232419
LAB Type Physician Office
Facility Name BANNER MD ANDERSON CANCER CENTER - POC TESTING
Street 2946 E BANNER GATEWAY DR
City GILBERT
State AZ
ZIP 85234
Phone 480 256-3359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director BRYCE DURSTELER

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