CLIA lab
CLIA 03D2258467: Vitiello Primary Care, PLLC
Maricopa, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2258467 belongs to Vitiello Primary Care, PLLC in Maricopa, AZ.
Certificate of Waiver, effective April 21, 2026, expires April 20, 2028.
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
- April 21, 2026
- Certificate expiration
- April 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2022
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D2258467
- Lab name
- Vitiello Primary Care, PLLC
- Address
- 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ 85139
- Phone
- (480) 389-9419
- Fax
- (520) 472-3872
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maricopa, AZ
- Ak-Chin ClinicCertificate of Waiver, Federally qualified health center03D0923260
- American Medical AssociatesCertificate of Waiver, Physician office03D2119705
- Arizona State Urological Institute, LLCCertificate of Waiver, Physician office03D2289332
- Banner Childrens Banner Health Clinic LLCCertificate of Waiver, Physician office03D2183629
- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2039694
- Banner Physician Super Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2162183
- Banner Primary Care Physicians Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2039693
- Desert Oasis Dermatology-MaricopaCertificate of Registration, Physician office03D2325854
- Dignity Health Medical Group MaricopaCertificate for Provider-Performed Microscopy Procedures, Community clinic03D2079104
- Dignity Health Urgent Care - MaricopaCertificate of Waiver, Other03D2054475
Related
Questions
What is the CLIA number for Vitiello Primary Care, PLLC in Maricopa?
03D2258467, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vitiello Primary Care, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2258467 expire?
The CMS file lists April 20, 2028 as the certificate expiration date; the certificate took effect April 21, 2026.