CLIA lab
CLIA 03D2111356: Banner Physician Super Specialists Arizona LLC
Glendale, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2111356 belongs to Banner Physician Super Specialists Arizona LLC in Glendale, AZ.
Certificate of Waiver, effective April 5, 2026, expires April 4, 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 of Waiver
- Certificate effective
- April 5, 2026
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 2016
- 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
- 03D2111356
- Lab name
- Banner Physician Super Specialists Arizona LLC
- Address
- 5310 W Thunderbird Rd Ste 310, Glendale, AZ 85306
- Phone
- (602) 865-4470
- Fax
- (602) 865-4500
Annual test volume the lab reported
- Waived tests
- 100
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 Physician Super Specialists Arizona LLC in Glendale?
03D2111356, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Physician Super Specialists Arizona LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2111356 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 5, 2026.