33D2041406 CLIA NUMBER - KEITH C CHANG, MD, PLLC

Laboratory Demographics

  • CLIA Code: 33D2041406
  • Facility Name: KEITH C CHANG, MD, PLLC
  • Facility Address: 217 GRAND STREET, SUITE 302
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 965-8883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEITH C. CHANG
  • NPI Number: 1588703995
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 33D2041406
LAB Type Physician Office
Facility Name KEITH C CHANG, MD, PLLC
Street 217 GRAND STREET, SUITE 302
City NEW YORK
State NY
ZIP 10013
Phone 212 965-8883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director DR. KEITH C. CHANG

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