CLIA lab
CLIA 03D2289071: Banner Physician Specialists Arizona LLC
Mesa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2289071 belongs to Banner Physician Specialists Arizona LLC in Mesa, AZ.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 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
- 03D2289071
- Lab name
- Banner Physician Specialists Arizona LLC
- Address
- 1520 S Dobson Rd Ste 203, Mesa, AZ 85202
- Phone
- (480) 412-8080
- Fax
- (480) 412-8081
Annual test volume the lab reported
- Waived tests
- 70
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mesa, AZ
- 1st Care Medical ClinicCertificate of Waiver, Physician office03D1051751
- A New Leaf, IncCertificate of Waiver, Other03D2058313
- A To Z DermatologyCertificate of Registration, Physician office03D2160720
- Aap Dermatology & Cosmetic SurgeryCertificate of Compliance, Physician office03D0529436
- Active Recovery Care, PLLCCertificate of Waiver, Other practitioner03D2175338
- Adelante Healthcare MesaCertificate of Waiver, Federally qualified health center03D0663059
- Advance Home Health Care LLCCertificate of Waiver, Home health agency03D2097527
- Advanced Family Healthcare PLLCCertificate of Waiver, Physician office03D2083155
- Advanced Injury Solutions PLLCCertificate of Waiver, Ambulatory surgery center03D2342127
- Advanced Pain ManagementCertificate of Waiver, Physician office03D2053465
Related
Questions
What is the CLIA number for Banner Physician Specialists Arizona LLC in Mesa?
03D2289071, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Physician Specialists Arizona LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2289071 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.