33D2092250 CLIA NUMBER - KEITH C CHANG, MD, PLLC

Laboratory Demographics

  • CLIA Code: 33D2092250
  • Facility Name: KEITH C CHANG, MD, PLLC
  • Facility Address: 849 57TH STREET, 3RD FLOOR
    BROOKLYN, NY
    ZIP 11220
  • Facility Phone: 718 872-5580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEITH C. CHANG
  • NPI Number: 1164762449
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2092250
LAB Type Physician Office
Facility Name KEITH C CHANG, MD, PLLC
Street 849 57TH STREET, 3RD FLOOR
City BROOKLYN
State NY
ZIP 11220
Phone 718 872-5580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director DR. KEITH C. CHANG

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