11D0938692 CLIA NUMBER - HANSEN A CHANG LLC

Laboratory Demographics

  • CLIA Code: 11D0938692
  • Facility Name: HANSEN A CHANG LLC
  • Facility Address: 4720 PEACHTREE INDUSTRIAL BLVD STE 202
    NORCROSS, GA
    ZIP 30071
  • Facility Phone: 770 454-9047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUAN M. NGUYEN
  • NPI Number: 1689735599
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0938692
LAB Type Physician Office
Facility Name HANSEN A CHANG LLC
Street 4720 PEACHTREE INDUSTRIAL BLVD STE 202
City NORCROSS
State GA
ZIP 30071
Phone 770 454-9047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director TUAN M. NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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