CLIA lab
CLIA 03D2106649: Banner Physician Specialists Arizona LLC
Queen Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2106649 belongs to Banner Physician Specialists Arizona LLC in Queen Creek, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective December 22, 2025, expires December 21, 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
- December 22, 2025
- Certificate expiration
- December 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 2015
- 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
- 03D2106649
- Lab name
- Banner Physician Specialists Arizona LLC
- Address
- 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142
- Phone
- (480) 512-3700
- Fax
- (480) 649-3715
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 50
- Total
- 550
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 office03D2123901
- Banner Physician Super Specialists Arizona LLCCertificate of Waiver, Physician office03D2217366
- Banner Primary Care Physicians Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2054645
Related
Questions
What is the CLIA number for Banner Physician Specialists Arizona LLC in Queen Creek?
03D2106649, 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 03D2106649 expire?
The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.