CLIA lab
CLIA 03D0994843: Banner Children's Community Clinic - Mesa
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D0994843 belongs to Banner Children's Community Clinic - Mesa in Mesa, AZ.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2002
- Facility type
- School or student health service
- Ownership (control type)
- Private
- 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
- 03D0994843
- Lab name
- Banner Children's Community Clinic - Mesa
- Address
- 564 W 9th Pl Ste 2, Mesa, AZ 85201
- Phone
- (480) 412-6344
- Fax
- (602) 412-6443
Annual test volume the lab reported
- Waived tests
- 390
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Active Recovery Care, PLLCCertificate of Waiver, Other practitioner03D2175338
- Adelante Healthcare MesaCertificate of Waiver, Federally qualified health center03D0663059
- Advance Home Health Care LLCCertificate of Waiver, Home health agency03D2097527
- Advanced Family Healthcare PLLCCertificate of Waiver, Physician office03D2083155
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- Advanced Pain ManagementCertificate of Waiver, Physician office03D2053465
Related
Questions
What is the CLIA number for Banner Children's Community Clinic - Mesa in Mesa?
03D0994843, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Children's Community Clinic - Mesa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D0994843 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.