05D0957215 CLIA NUMBER - KENNETH H CHANG MD

Laboratory Demographics

  • CLIA Code: 05D0957215
  • Facility Name: KENNETH H CHANG MD
  • Facility Address: 728 PACIFIC AVE SUITE 402
    SAN FRANCISCO, CA
    ZIP 94133
  • Facility Phone: (415) 421-4525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH H. CHANG MD
  • NPI Number: 1609832724
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0957215
LAB Type Physician Office
Facility Name KENNETH H CHANG MD
Street 728 PACIFIC AVE SUITE 402
City SAN FRANCISCO
State CA
ZIP 94133
Phone 4154214525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director KENNETH H. CHANG MD

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This page was last updated on: 5/18/2026