CLIA lab
CLIA 03D2136728: Banner Peoria Surgery Center LLC
Peoria, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2136728 belongs to Banner Peoria Surgery Center LLC in Peoria, AZ.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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 Waiver
- Certificate effective
- September 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2017
- Facility type
- Other
- 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
- 03D2136728
- Lab name
- Banner Peoria Surgery Center LLC
- Address
- 13640 N Plaza Del Rio Blvd Ste 135, Peoria, AZ 85381
- Phone
- (623) 876-3943
- Fax
- (623) 876-6946
Annual test volume the lab reported
- Waived tests
- 200
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 Peoria Surgery Center LLC in Peoria?
03D2136728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Peoria Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2136728 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.