CLIA lab
CLIA 03D1049769: Banner Health
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1049769 belongs to Banner Health in Payson, AZ.
Certificate of Waiver, effective January 17, 2026, expires January 16, 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 17, 2026
- Certificate expiration
- January 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2006
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D1049769
- Lab name
- Banner Health
- Address
- 101 E State Hwy 260 Ste G, Payson, AZ 85541
- Phone
- (925) 537-2777
- Fax
- (928) 537-2787
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Payson, AZ
- Abc's PediatricsCertificate of Waiver, Community clinic03D2188710
- Alliance DermatologyCertificate of Compliance, Physician office03D2017722
- Alpine Country Urologic AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office03D1044332
- Arizona Institute of DermatologyCertificate of Compliance, Physician office03D2279695
- Avista Senior Living PaysonCertificate of Waiver, Assisted living facility03D2339726
- Banner Health - CardiopulmonaryCertificate of Waiver, Ancillary test site03D2271876
- Banner Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office03D2277824
- Banner Home Care - ArizonaCertificate of Waiver, Home health agency03D2261830
- Banner Payson Blood Gas LabCertificate of Accreditation, Hospital03D2116229
- Banner Payson Medical CenterCertificate of Accreditation, Hospital03D0531768
Related
Questions
What is the CLIA number for Banner Health in Payson?
03D1049769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1049769 expire?
The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.