33D2026079 CLIA NUMBER - JONATHAN MT CHANG

Laboratory Demographics

  • CLIA Code: 33D2026079
  • Facility Name: JONATHAN MT CHANG
  • Facility Address: 5303 8TH AVE
    BROOKLYN, NY
    ZIP 11220
  • Facility Phone: 718 972-1777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN MT CHANG
  • NPI Number: 1114968385
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2026079
LAB Type Physician Office
Facility Name JONATHAN MT CHANG
Street 5303 8TH AVE
City BROOKLYN
State NY
ZIP 11220
Phone 718 972-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director DR. JONATHAN MT CHANG

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