03D2281002 CLIA NUMBER - BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 03D2281002
  • Facility Name: BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
  • Facility Address: 7400 N DOBSON RD STE 201
    SCOTTSDALE, AZ
    ZIP 85256
  • Facility Phone: 480 733-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVAN LEDERMAN
  • NPI Number: 1154088490
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2281002
LAB Type Physician Office
Facility Name BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
Street 7400 N DOBSON RD STE 201
City SCOTTSDALE
State AZ
ZIP 85256
Phone 480 733-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director EVAN LEDERMAN

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