CLIA lab
CLIA 03D2221452: Banner Imaging Services LLC
Glendale, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2221452 belongs to Banner Imaging Services LLC in Glendale, AZ.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2021
- 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
- 03D2221452
- Lab name
- Banner Imaging Services LLC
- Address
- 7701 W Aspera Blvd Ste 101, Glendale, AZ 85308
- Phone
- (623) 248-2050
- Fax
- (623) 707-4806
Annual test volume the lab reported
- Waived tests
- 1,600
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 Glendale?
03D2221452, 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 03D2221452 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.