CLIA lab
CLIA 03D2054645: Banner Primary Care Physicians Arizona LLC
Queen Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2054645 belongs to Banner Primary Care Physicians Arizona LLC in Queen Creek, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective April 23, 2025, expires April 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2013
- 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
- 03D2054645
- Lab name
- Banner Primary Care Physicians Arizona LLC
- Address
- 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142
- Phone
- (480) 512-3700
- Fax
- (480) 512-3715
Annual test volume the lab reported
- Waived tests
- 5,600
- Provider-performed microscopy tests
- 50
- Total
- 5,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Queen Creek, AZ
- A Better Choice Family Practice, LLCCertificate of Waiver, Physician office03D2081803
- Alliance Urgent CareCertificate of Waiver, Other03D2045934
- Arizona Pain and Spine InstituteCertificate of Waiver, Physician office03D2179362
- BSC 1 LLCCertificate of Waiver, Ambulatory surgery center03D2228397
- Banner Childrens Banner Health Clinic LLCCertificate of Waiver, Physician office03D2183563
- Banner Ironwood Medical CenterCertificate of Accreditation, Hospital03D2008842
- Banner Ironwood Medical Center Respiratory LabCertificate of Accreditation, Hospital03D2013557
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2106649
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2123901
- Banner Physician Super Specialists Arizona LLCCertificate of Waiver, Physician office03D2217366
Related
Questions
What is the CLIA number for Banner Primary Care Physicians Arizona LLC in Queen Creek?
03D2054645, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Primary Care Physicians Arizona LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D2054645 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.