CLIA lab
CLIA 03D2013912: Banner Primary Care Physicians Arizona LLC
San Tan Valley, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2013912 belongs to Banner Primary Care Physicians Arizona LLC in San Tan Valley, AZ.
Certificate of Waiver, effective June 30, 2025, expires June 29, 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
- June 30, 2025
- Certificate expiration
- June 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2010
- Facility type
- Physician office
- 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
- 03D2013912
- Lab name
- Banner Primary Care Physicians Arizona LLC
- Address
- 37100 N Gantzel Rd, Ste 201, San Tan Valley, AZ 85140
- Phone
- (480) 394-4469
- Fax
- (480) 394-4520
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Tan Valley, AZ
- Arizona Arthritis & Rheumatology AssociatesCertificate of Waiver, Physician office03D2258375
- Arizona State Urological InstituteCertificate of Waiver, Physician office03D2107583
- Banner Ironwood Medical Center PocCertificate of Accreditation, Hospital03D2014168
- Banner Occupational Health Arizona LLCCertificate of Waiver, Physician office03D2347853
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2043340
- Banner Urgent Care Services LLCCertificate of Waiver, Other03D2097346
- Burke Medical, IncCertificate of Waiver, Physician office03D2314709
- Cornerstone Family MedicineCertificate of Waiver, Physician office03D2119682
- Dignity Health Arizona General Hospital-San TanCertificate of Accreditation, Other03D2161825
- Fry's Food and Drug #0682Certificate of Waiver, Other03D2095151
Related
Questions
What is the CLIA number for Banner Primary Care Physicians Arizona LLC in San Tan Valley?
03D2013912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Primary Care Physicians Arizona LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2013912 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.