05D0863221 CLIA NUMBER - WESLEY J CHANG, MD

Laboratory Demographics

  • CLIA Code: 05D0863221
  • Facility Name: WESLEY J CHANG, MD
  • Facility Address: 6200 CANYON RIM ROAD #103A
    ANAHEIM, CA
    ZIP 92807
  • Facility Phone: 714 974-8130
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WESLEY J. CHANG, MD
  • NPI Number: 1174593453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0863221
LAB Type Physician Office
Facility Name WESLEY J CHANG, MD
Street 6200 CANYON RIM ROAD #103A
City ANAHEIM
State CA
ZIP 92807
Phone 714 974-8130
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WESLEY J. CHANG, MD

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