CLIA lab
CLIA 03D2183629: Banner Childrens Banner Health Clinic LLC
Maricopa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2183629 belongs to Banner Childrens Banner Health Clinic LLC in Maricopa, AZ.
Certificate of Waiver, effective May 7, 2026, expires May 6, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 7, 2026
- Certificate expiration
- May 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 7, 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
- 03D2183629
- Lab name
- Banner Childrens Banner Health Clinic 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
- 1,084
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 Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2039694
- Banner Physician Super Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2162183
- 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 Childrens Banner Health Clinic LLC in Maricopa?
03D2183629, 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 03D2183629 expire?
The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.