05D0940776 CLIA NUMBER - BAYARD W CHANG MD INC

Laboratory Demographics

  • CLIA Code: 05D0940776
  • Facility Name: BAYARD W CHANG MD INC
  • Facility Address: 500 UNIVERSITY AVE SUITE 111
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 929-2526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAYARD W. CHANG MD
  • NPI Number: 1104816255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0940776
LAB Type Physician Office
Facility Name BAYARD W CHANG MD INC
Street 500 UNIVERSITY AVE SUITE 111
City SACRAMENTO
State CA
ZIP 95825
Phone 916 929-2526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director BAYARD W. CHANG MD

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