CLIA lab
CLIA 03D2112227: Banner Urgent Care Services LLC
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2112227 belongs to Banner Urgent Care Services LLC in Surprise, AZ.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2016
- Facility type
- Other
- 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
- 03D2112227
- Lab name
- Banner Urgent Care Services LLC
- Address
- 15521 W Bell Rd, Surprise, AZ 85374
- Phone
- (623) 465-6390
- Fax
- (623) 465-6404
Annual test volume the lab reported
- Waived tests
- 3,500
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 Urgent Care Services LLC in Surprise?
03D2112227, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Urgent Care Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2112227 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.