03D0983582 CLIA NUMBER - CARDIAC CARE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 03D0983582
  • Facility Name: CARDIAC CARE CONSULTANTS
  • Facility Address: 13634 N 93RD AVE SUITE 300
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 815-2484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT NICCHI MD
  • NPI Number: 1114202124
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0983582
LAB Type Physician Office
Facility Name CARDIAC CARE CONSULTANTS
Street 13634 N 93RD AVE SUITE 300
City PEORIA
State AZ
ZIP 85381
Phone 623 815-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director VINCENT NICCHI MD

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