05D2021391 CLIA NUMBER - LAWRENCE C CHANG MD

Laboratory Demographics

  • CLIA Code: 05D2021391
  • Facility Name: LAWRENCE C CHANG MD
  • Facility Address: 665 CAMINO DE LOS MARES STE 301
    SAN CLEMENTE, CA
    ZIP 92673
  • Facility Phone: 949 240-9664
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE C. CHANG
  • NPI Number: 1528046430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2021391
LAB Type Physician Office
Facility Name LAWRENCE C CHANG MD
Street 665 CAMINO DE LOS MARES STE 301
City SAN CLEMENTE
State CA
ZIP 92673
Phone 949 240-9664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director LAWRENCE C. CHANG

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