CLIA lab

CLIA 03D2116229: Banner Payson Blood Gas Lab

Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2116229 belongs to Banner Payson Blood Gas Lab in Payson, AZ.

Certificate of Accreditation, effective June 21, 2025, expires June 20, 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 of Accreditation
Certificate effective
June 21, 2025
Certificate expiration
June 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 21, 2016
Facility type
Hospital
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
College of American Pathologists (CAP)

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D2116229
Lab name
Banner Payson Blood Gas Lab
Address
807 S Ponderosa St, Payson, AZ 85541
Phone
(928) 474-3222

Annual test volume the lab reported

Tests under accreditation
4,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Banner Payson Blood Gas Lab in Payson?

03D2116229, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Banner Payson Blood Gas Lab hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 03D2116229 expire?

The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.

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