CLIA lab
CLIA 03D2183165: Banner Imaging Services LLC
Peoria, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2183165 belongs to Banner Imaging Services LLC in Peoria, AZ.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2020
- 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
- 03D2183165
- Lab name
- Banner Imaging Services LLC
- Address
- 13640 N Plaza Del Rio Blvd Ste 105, Peoria, AZ 85381
- Phone
- (480) 610-7400
- Fax
- (480) 610-7401
Annual test volume the lab reported
- Waived tests
- 1,000
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 Imaging Services LLC in Peoria?
03D2183165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Imaging Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2183165 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.