10D1034929 CLIA NUMBER - CARLOS CHANG MD PA

Laboratory Demographics

  • CLIA Code: 10D1034929
  • Facility Name: CARLOS CHANG MD PA
  • Facility Address: 1862 MAYO DR
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 343-0053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS F. CHANG
  • NPI Number: 1922005016
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1034929
LAB Type Physician Office
Facility Name CARLOS CHANG MD PA
Street 1862 MAYO DR
City TAVARES
State FL
ZIP 32778
Phone 352 343-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director CARLOS F. CHANG

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