03D2179179 CLIA NUMBER - OCOTILLO PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 03D2179179
  • Facility Name: OCOTILLO PRIMARY CARE LLC
  • Facility Address: 2860 S ALMA SCHOOL RD STE 33
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 581-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUMA RASHID
  • NPI Number: 1275005688
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 03D2179179
LAB Type Physician Office
Facility Name OCOTILLO PRIMARY CARE LLC
Street 2860 S ALMA SCHOOL RD STE 33
City CHANDLER
State AZ
ZIP 85286
Phone 480 581-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director HUMA RASHID

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