CLIA lab
CLIA 03D2045875: Banner Physician Specialists Arizona LLC
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2045875 belongs to Banner Physician Specialists Arizona LLC in Surprise, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective August 21, 2026, expires August 20, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2012
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 03D2045875
- Lab name
- Banner Physician Specialists Arizona LLC
- Address
- 13995 W Statler Blvd, Surprise, AZ 85374
- Phone
- (623) 478-3100
- Fax
- (623) 478-3300
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 960
- Total
- 2,960
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Surprise, AZ
- A Clark Ruttinger DO PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D0983493
- Abrazo Surprise HospitalCertificate of Accreditation, Hospital03D2181109
- Active Life Physical Medicine & Pain CenterCertificate of Waiver, Physician office03D2128471
- Adelante Healthcare SurpriseCertificate of Waiver, Federally qualified health center03D2333161
- Adelante Healthcare Surprise Care TodayCertificate of Waiver, Federally qualified health center03D2333158
- Adriel Care HomeCertificate of Waiver, Other03D1066985
- Advanced Ambulatory Surgery Center One LLCCertificate of Waiver, Ambulatory surgery center03D2184403
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2078470
- Advanced Spine and Pain, LLCCertificate of Waiver, Physician office03D2254581
- All DermatologyCertificate of Compliance, Physician office03D1002763
Related
Questions
What is the CLIA number for Banner Physician Specialists Arizona LLC in Surprise?
03D2045875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Physician Specialists Arizona LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D2045875 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.