05D0565339 CLIA NUMBER - CARL J CHANG, MD INC

Laboratory Demographics

  • CLIA Code: 05D0565339
  • Facility Name: CARL J CHANG, MD INC
  • Facility Address: 100 N SANTA ANITA AVE
    ARCADIA, CA
    ZIP 91006
  • Facility Phone: 626 821-5998
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CARL J. CHANG MD
  • NPI Number: 1235136243
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0565339
LAB Type Physician Office
Facility Name CARL J CHANG, MD INC
Street 100 N SANTA ANITA AVE
City ARCADIA
State CA
ZIP 91006
Phone 626 821-5998
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director CARL J. CHANG MD

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