39D2024656 CLIA NUMBER - XIAOLI MA PC

Laboratory Demographics

  • CLIA Code: 39D2024656
  • Facility Name: XIAOLI MA PC
  • Facility Address: 121 N 9TH STREET
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 629-8866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. XIAOLI MA
  • NPI Number: 1558300152
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2024656
LAB Type Physician Office
Facility Name XIAOLI MA PC
Street 121 N 9TH STREET
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 629-8866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director DR. XIAOLI MA

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