39D2055179 CLIA NUMBER - STOLL MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 39D2055179
  • Facility Name: STOLL MEDICAL GROUP LLC
  • Facility Address: 1528 WALNUT STREET SUITE 950
    PHILADELPHIA, PA
    ZIP 19102
  • Facility Phone: 267 273-1196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN M. STOLL MD
  • NPI Number: 1932454923
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2055179
LAB Type Physician Office
Facility Name STOLL MEDICAL GROUP LLC
Street 1528 WALNUT STREET SUITE 950
City PHILADELPHIA
State PA
ZIP 19102
Phone 267 273-1196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director DR. STEVEN M. STOLL MD

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