36D2163354 CLIA NUMBER - STAPP MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 36D2163354
  • Facility Name: STAPP MEDICAL GROUP
  • Facility Address: 52 REMICK BLVD
    SPRINGBORO, OH
    ZIP 45066
  • Facility Phone: 937 886-5018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER WILLIAMS
  • NPI Number: 1003373242
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2163354
LAB Type Physician Office
Facility Name STAPP MEDICAL GROUP
Street 52 REMICK BLVD
City SPRINGBORO
State OH
ZIP 45066
Phone 937 886-5018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director JENNIFER WILLIAMS

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