03D2264630 CLIA NUMBER - BSC 2 LLC DBA BANNER SURGERY CENTER SPORTS MEDICINE

Laboratory Demographics

  • CLIA Code: 03D2264630
  • Facility Name: BSC 2 LLC DBA BANNER SURGERY CENTER SPORTS MEDICINE
  • Facility Address: 9439 E IRONWOOD SQUARE DR STE 100
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 355-3750
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC BRANDON
  • NPI Number: 1003556812
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2264630
LAB Type Ambulatory Surgery Center
Facility Name BSC 2 LLC DBA BANNER SURGERY CENTER SPORTS MEDICINE
Street 9439 E IRONWOOD SQUARE DR STE 100
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 355-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Ambulatory Surgery Center
Lab Director MARC BRANDON

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