CLIA lab

CLIA 03D1047999: Mark Gentile MD PC

Gilbert, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D1047999 belongs to Mark Gentile MD PC in Gilbert, AZ.

Certificate of Waiver, effective November 18, 2025, expires November 17, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 18, 2025
Certificate expiration
November 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D1047999
Lab name
Mark Gentile MD PC
Address
2680 S Val Vista Dr, Bldg 12, Ste 167, Gilbert, AZ 85295
Phone
(480) 857-0222
Fax
(480) 857-0020

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Mark Gentile MD PC in Gilbert?

03D1047999, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mark Gentile MD PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D1047999 expire?

The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.

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