CLIA lab

CLIA 03D2184079: Banner Childrens Banner Health Clinic LLC

Goodyear, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2184079 belongs to Banner Childrens Banner Health Clinic LLC in Goodyear, AZ.

Certificate of Waiver, effective May 14, 2026, expires May 13, 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 14, 2026
Certificate expiration
May 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 14, 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
03D2184079
Lab name
Banner Childrens Banner Health Clinic LLC
Address
9780 S Estrella Pkwy, Goodyear, AZ 85338
Phone
(623) 474-8101
Fax
(623) 474-8135

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Goodyear, AZ

Related

Questions

What is the CLIA number for Banner Childrens Banner Health Clinic LLC in Goodyear?

03D2184079, 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 03D2184079 expire?

The CMS file lists May 13, 2028 as the certificate expiration date; the certificate took effect May 14, 2026.

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