CLIA lab
CLIA 03D0531772: Banner Primary Care Physicians Arizona LLC
Pine, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0531772 belongs to Banner Primary Care Physicians Arizona LLC in Pine, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective January 3, 2025, expires January 2, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 1994
- Facility type
- Community clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D0531772
- Lab name
- Banner Primary Care Physicians Arizona LLC
- Address
- 6152 Hardscrabble Rd, Pine, AZ 85544
- Phone
- (928) 474-1714
- Fax
- (928) 472-8070
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Banner Primary Care Physicians Arizona LLC in Pine?
03D0531772, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Primary Care Physicians Arizona LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D0531772 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.