CLIA lab

CLIA 03D2277824: Banner Health Clinic

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

CLIA number 03D2277824 belongs to Banner Health Clinic in Payson, AZ.

Certificate for Provider-Performed Microscopy Procedures, effective August 1, 2026, expires July 31, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 1, 2026
Certificate expiration
July 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 2023
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
03D2277824
Lab name
Banner Health Clinic
Address
117 E Main St Ste A100, Payson, AZ 85541
Phone
(928) 596-4500
Fax
(928) 596-4545

Annual test volume the lab reported

Waived tests
2,400
Provider-performed microscopy tests
40
Total
2,440

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 Health Clinic in Payson?

03D2277824, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Banner Health Clinic hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 03D2277824 expire?

The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.

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