33D0679461 CLIA NUMBER - MICHAEL S FUSCO MD

Laboratory Demographics

  • CLIA Code: 33D0679461
  • Facility Name: MICHAEL S FUSCO MD
  • Facility Address: 25 SOUTH REGENT ST
    PORT CHESTER, NY
    ZIP 10573
  • Facility Phone: 914 939-1922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. FUSCO MD
  • NPI Number: 1972516482
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0679461
LAB Type Physician Office
Facility Name MICHAEL S FUSCO MD
Street 25 SOUTH REGENT ST
City PORT CHESTER
State NY
ZIP 10573
Phone 914 939-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL S. FUSCO MD

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This page was last updated on: 6/4/2025