CLIA lab
CLIA 03D2296647: Banner Occupational Health-Arizona
Ehrenberg, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2296647 belongs to Banner Occupational Health-Arizona in Ehrenberg, AZ.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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 of Waiver
- Certificate effective
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2024
- 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
- 03D2296647
- Lab name
- Banner Occupational Health-Arizona
- Address
- 1641 E Guadalupe Rd, Ehrenberg, AZ 85334
- Phone
- (480) 543-3300
- Fax
- (480) 543-2689
Annual test volume the lab reported
- Waived tests
- 720
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Banner Occupational Health-Arizona in Ehrenberg?
03D2296647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Occupational Health-Arizona hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2296647 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.