CLIA lab
CLIA 03D0967930: Banner Occupational Health Arizona LLC
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0967930 belongs to Banner Occupational Health Arizona LLC in Mesa, AZ.
Certificate of Waiver, effective November 29, 2025, expires November 28, 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 of Waiver
- Certificate effective
- November 29, 2025
- Certificate expiration
- November 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 1999
- Facility type
- Mobile lab
- 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
- 03D0967930
- Lab name
- Banner Occupational Health Arizona LLC
- Address
- 2225 W Southern Ave, Mesa, AZ 85202
- Phone
- (480) 412-6374
- Fax
- (480) 412-5334
Annual test volume the lab reported
- Waived tests
- 15
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 Occupational Health Arizona LLC in Mesa?
03D0967930, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Occupational Health Arizona LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0967930 expire?
The CMS file lists November 28, 2027 as the certificate expiration date; the certificate took effect November 29, 2025.