CLIA lab
CLIA 03D2183570: Banner Childrens Banner Health Clinic LLC
Surprise, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2183570 belongs to Banner Childrens Banner Health Clinic LLC in Surprise, AZ.
Certificate of Waiver, effective May 6, 2026, expires May 5, 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
- May 6, 2026
- Certificate expiration
- May 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2020
- 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
- 03D2183570
- Lab name
- Banner Childrens Banner Health Clinic LLC
- Address
- 15800 N Litchfield Rd, Surprise, AZ 85374
- Phone
- (480) 512-3700
- Fax
- (480) 512-3715
Annual test volume the lab reported
- Waived tests
- 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 Childrens Banner Health Clinic LLC in Surprise?
03D2183570, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Childrens Banner Health Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2183570 expire?
The CMS file lists May 5, 2028 as the certificate expiration date; the certificate took effect May 6, 2026.