CLIA lab
CLIA 03D0864557: Banner Childrens Banner Health Clinic LLC
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0864557 belongs to Banner Childrens Banner Health Clinic LLC in Mesa, AZ.
Certificate of Waiver, effective February 23, 2026, expires February 22, 2028.
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 of Waiver
- Certificate effective
- February 23, 2026
- Certificate expiration
- February 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 03D0864557
- Lab name
- Banner Childrens Banner Health Clinic LLC
- Address
- 6142 E Brown Rd, Ste 102, Mesa, AZ 85205
- Phone
- (480) 827-5430
- Fax
- (480) 827-5446
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Related
Questions
What is the CLIA number for Banner Childrens Banner Health Clinic LLC in Mesa?
03D0864557, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Childrens Banner Health Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0864557 expire?
The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.