CLIA lab
CLIA 03D2162183: Banner Physician Super Specialists Arizona LLC
Maricopa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2162183 belongs to Banner Physician Super Specialists Arizona LLC in Maricopa, AZ.
Certificate for Provider-Performed Microscopy Procedures, effective December 10, 2025, expires December 9, 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 10, 2025
- Certificate expiration
- December 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2019
- 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
- 03D2162183
- Lab name
- Banner Physician Super Specialists Arizona LLC
- Address
- 17900 N Porter Rd, Maricopa, AZ 85138
- Phone
- (520) 233-2500
- Fax
- (520) 233-2688
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 500
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maricopa, AZ
- Ak-Chin ClinicCertificate of Waiver, Federally qualified health center03D0923260
- American Medical AssociatesCertificate of Waiver, Physician office03D2119705
- Arizona State Urological Institute, LLCCertificate of Waiver, Physician office03D2289332
- Banner Childrens Banner Health Clinic LLCCertificate of Waiver, Physician office03D2183629
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2039694
- Banner Primary Care Physicians Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2039693
- Desert Oasis Dermatology-MaricopaCertificate of Registration, Physician office03D2325854
- Dignity Health Medical Group MaricopaCertificate for Provider-Performed Microscopy Procedures, Community clinic03D2079104
- Dignity Health Urgent Care - MaricopaCertificate of Waiver, Other03D2054475
- Dunamis Home Healthcare Services LLCCertificate of Waiver, Home health agency03D2324842
Related
Questions
What is the CLIA number for Banner Physician Super Specialists Arizona LLC in Maricopa?
03D2162183, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Physician Super Specialists Arizona LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 03D2162183 expire?
The CMS file lists December 9, 2027 as the certificate expiration date; the certificate took effect December 10, 2025.