22D0862874 CLIA NUMBER - JACK C CHANG MD PC PRIME-MED BUILDING

Laboratory Demographics

  • CLIA Code: 22D0862874
  • Facility Name: JACK C CHANG MD PC PRIME-MED BUILDING
  • Facility Address: 706 ROGERS STREET
    LOWELL, MA
    ZIP 01852
  • Facility Phone: 508 937-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACK C. CHANG
  • NPI Number: 1811182041
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D0862874
LAB Type Physician Office
Facility Name JACK C CHANG MD PC PRIME-MED BUILDING
Street 706 ROGERS STREET
City LOWELL
State MA
ZIP 01852
Phone 508 937-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JACK C. CHANG

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: 3/20/2025