CLIA lab

CLIA 03D1094828: Banner Imaging Services LLC

Tempe, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D1094828 belongs to Banner Imaging Services LLC in Tempe, AZ.

Certificate of Waiver, effective January 28, 2025, expires January 27, 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
January 28, 2025
Certificate expiration
January 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 28, 2009
Facility type
Other
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
03D1094828
Lab name
Banner Imaging Services LLC
Address
1840 E Warner Rd Ste 114, Tempe, AZ 85284
Phone
(480) 768-2800
Fax
(480) 768-2888

Annual test volume the lab reported

Waived tests
500

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 Imaging Services LLC in Tempe?

03D1094828, 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 03D1094828 expire?

The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.

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