CLIA lab
CLIA 03D1064759: Banner Imaging Services LLC
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D1064759 belongs to Banner Imaging Services LLC in Mesa, AZ.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2007
- Facility type
- Independent
- 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
- 03D1064759
- Lab name
- Banner Imaging Services LLC
- Address
- 6424 E Broadway Rd Suite 101, Mesa, AZ 85206
- Phone
- (480) 366-4700
- Fax
- (480) 366-4793
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A To Z DermatologyCertificate of Registration, Physician office03D2160720
- Aap Dermatology & Cosmetic SurgeryCertificate of Compliance, Physician office03D0529436
- 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
- Advanced Injury Solutions PLLCCertificate of Waiver, Ambulatory surgery center03D2342127
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2053465
Related
Questions
What is the CLIA number for Banner Imaging Services LLC in Mesa?
03D1064759, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Imaging Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D1064759 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.