03D2176015 CLIA NUMBER - OCOTILLO SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 03D2176015
  • Facility Name: OCOTILLO SURGERY CENTER, LLC
  • Facility Address: 3920 S ROME ST
    GILBERT, AZ
    ZIP 85297
  • Facility Phone: 480 734-8240
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RHONDA L. PHELAN
  • NPI Number: 1871085902
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2176015
LAB Type Ambulatory Surgery Center
Facility Name OCOTILLO SURGERY CENTER, LLC
Street 3920 S ROME ST
City GILBERT
State AZ
ZIP 85297
Phone 480 734-8240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Ambulatory Surgery Center
Lab Director RHONDA L. PHELAN

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This page was last updated on: 9/29/2025