03D1004425 CLIA NUMBER - KEVIN A FUCIARELLI MD PC

Laboratory Demographics

  • CLIA Code: 03D1004425
  • Facility Name: KEVIN A FUCIARELLI MD PC
  • Facility Address: 10615 N HAYDEN RD C-102
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 513-7047
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN A. FUCIARELLI
  • NPI Number: 1689859514
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D1004425
LAB Type Physician Office
Facility Name KEVIN A FUCIARELLI MD PC
Street 10615 N HAYDEN RD C-102
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 513-7047
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director KEVIN A. FUCIARELLI

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