05D2184504 CLIA NUMBER - KIRK Y CHANG MD INC

Laboratory Demographics

  • CLIA Code: 05D2184504
  • Facility Name: KIRK Y CHANG MD INC
  • Facility Address: W 3RD STREET #1050W
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 659-4026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRK Y. CHANG
  • NPI Number: 1215924105
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2184504
LAB Type Physician Office
Facility Name KIRK Y CHANG MD INC
Street W 3RD STREET #1050W
City LOS ANGELES
State CA
ZIP 90048
Phone 310 659-4026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director KIRK Y. CHANG

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