33D1016048 CLIA NUMBER - PETER K CHANG MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1016048
  • Facility Name: PETER K CHANG MD PLLC
  • Facility Address: 1049 PARK AVENUE
    NEW YORK, NY
    ZIP 10028
  • Facility Phone: 212 427-9888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER K. CHANG MD
  • NPI Number: 1619995610
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1016048
LAB Type Physician Office
Facility Name PETER K CHANG MD PLLC
Street 1049 PARK AVENUE
City NEW YORK
State NY
ZIP 10028
Phone 212 427-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director PETER K. CHANG MD

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