31D0927547 CLIA NUMBER - CHANG W LEE MD PC

Laboratory Demographics

  • CLIA Code: 31D0927547
  • Facility Name: CHANG W LEE MD PC
  • Facility Address: 464 HUDSON TERRACE SUITE 100
    ENGLEWOOD CLIFFS, NJ
    ZIP 07632
  • Facility Phone: 201 541-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANG W. LEE MD
  • NPI Number: 1235152554
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0927547
LAB Type Physician Office
Facility Name CHANG W LEE MD PC
Street 464 HUDSON TERRACE SUITE 100
City ENGLEWOOD CLIFFS
State NJ
ZIP 07632
Phone 201 541-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director CHANG W. LEE MD

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