CLIA lab
CLIA 03D2277823: Banner Health - Banner Health Clinic Pine
Pine, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2277823 belongs to Banner Health - Banner Health Clinic Pine in Pine, AZ.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2023
- Facility type
- Rural health clinic
- 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
- 03D2277823
- Lab name
- Banner Health - Banner Health Clinic Pine
- Address
- 6152 Hardscrabble Rd, Pine, AZ 85544
- Phone
- (928) 596-4848
- Fax
- (928) 596-4844
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine, AZ
Related
Questions
What is the CLIA number for Banner Health - Banner Health Clinic Pine in Pine?
03D2277823, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Health - Banner Health Clinic Pine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2277823 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.