03D2284049 CLIA NUMBER - BANNER CONCIERGE SERVICES ARCADIA LLC

Laboratory Demographics

  • CLIA Code: 03D2284049
  • Facility Name: BANNER CONCIERGE SERVICES ARCADIA LLC
  • Facility Address: 4200 E CAMELBACK RD STE 102
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 229-2128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANNA ASSAR
  • NPI Number: 1164110201
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2284049
LAB Type Physician Office
Facility Name BANNER CONCIERGE SERVICES ARCADIA LLC
Street 4200 E CAMELBACK RD STE 102
City PHOENIX
State AZ
ZIP 85018
Phone 602 229-2128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Physician Office
Lab Director JANNA ASSAR

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