46D2314239 CLIA NUMBER - OCULUS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 46D2314239
  • Facility Name: OCULUS SURGERY CENTER, LLC
  • Facility Address: 214 W 1500 S, STE 200
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 832 579-8047
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILCOX
  • NPI Number: 1982423943
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2314239
LAB Type Ambulatory Surgery Center
Facility Name OCULUS SURGERY CENTER, LLC
Street 214 W 1500 S, STE 200
City BOUNTIFUL
State UT
ZIP 84010
Phone 832 579-8047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL WILCOX

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