39D2128080 CLIA NUMBER - TEMPLE PRIMARY CARE AT STAPELEY

Laboratory Demographics

  • CLIA Code: 39D2128080
  • Facility Name: TEMPLE PRIMARY CARE AT STAPELEY
  • Facility Address: 7602 CENTRAL AVE, STE 101
    PHILADELPHIA, PA
    ZIP 19111
  • Facility Phone: 215 969-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GARY S. LANOCE
  • NPI Number: 1740641414
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 39D2128080
LAB Type Physician Office
Facility Name TEMPLE PRIMARY CARE AT STAPELEY
Street 7602 CENTRAL AVE, STE 101
City PHILADELPHIA
State PA
ZIP 19111
Phone 215 969-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director DR. GARY S. LANOCE

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