CLIA lab
CLIA 03D2217366: Banner Physician Super Specialists Arizona LLC
Queen Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2217366 belongs to Banner Physician Super Specialists Arizona LLC in Queen Creek, AZ.
Certificate of Waiver, effective March 19, 2025, expires March 18, 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 of Waiver
- Certificate effective
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2021
- 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
- 03D2217366
- Lab name
- Banner Physician Super Specialists Arizona LLC
- Address
- 37100 N Gantzel Rd Ste 214, Queen Creek, AZ 85140
- Phone
- (480) 733-7350
- Fax
- (480) 733-7351
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Queen Creek, AZ
- A Better Choice Family Practice, LLCCertificate of Waiver, Physician office03D2081803
- Alliance Urgent CareCertificate of Waiver, Other03D2045934
- Arizona Pain and Spine InstituteCertificate of Waiver, Physician office03D2179362
- BSC 1 LLCCertificate of Waiver, Ambulatory surgery center03D2228397
- Banner Childrens Banner Health Clinic LLCCertificate of Waiver, Physician office03D2183563
- Banner Ironwood Medical CenterCertificate of Accreditation, Hospital03D2008842
- Banner Ironwood Medical Center Respiratory LabCertificate of Accreditation, Hospital03D2013557
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2106649
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2123901
- Banner Primary Care Physicians Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2054645
Related
Questions
What is the CLIA number for Banner Physician Super Specialists Arizona LLC in Queen Creek?
03D2217366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Physician Super Specialists Arizona LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2217366 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.