33D0996147 CLIA NUMBER - PETER Y CHANG MD PLLC

Laboratory Demographics

  • CLIA Code: 33D0996147
  • Facility Name: PETER Y CHANG MD PLLC
  • Facility Address: 55 OLD TURNPIKE ROAD, SUITE 605
    NANUET, NY
    ZIP 10954
  • Facility Phone: 845 623-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER Y. CHANG MD
  • NPI Number: 1366426264
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0996147
LAB Type Physician Office
Facility Name PETER Y CHANG MD PLLC
Street 55 OLD TURNPIKE ROAD, SUITE 605
City NANUET
State NY
ZIP 10954
Phone 845 623-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director PETER Y. CHANG MD

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