05D2007568 CLIA NUMBER - CATHERINE CHANG MD

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Laboratory Demographics

CLIA Number: 05D2007568

Facility Name: CATHERINE CHANG MD

Facility Address:
1401 AVOCADO AVE SUITE 710
NEWPORT BEACH, CA
ZIP 92660
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Facility Phone Number: 949 717-6755

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295766426

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D2007568
LAB Type	Physician Office
Facility Name	CATHERINE CHANG MD
Street	1401 AVOCADO AVE SUITE 710
City	NEWPORT BEACH
State	CA
ZIP	92660
Phone	949 717-6755
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024