39D2040664 CLIA NUMBER - EDWARD R STANKIEWICZ MD LAB

Laboratory Demographics

  • CLIA Code: 39D2040664
  • Facility Name: EDWARD R STANKIEWICZ MD LAB
  • Facility Address: 1579 CHICHESTER AVE
    LINWOOD, PA
    ZIP 19061
  • Facility Phone: 610 485-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD STANKIEWICZ MD
  • NPI Number: 1972504066
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2040664
LAB Type Physician Office
Facility Name EDWARD R STANKIEWICZ MD LAB
Street 1579 CHICHESTER AVE
City LINWOOD
State PA
ZIP 19061
Phone 610 485-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director EDWARD STANKIEWICZ MD

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