Provider Demographics
NPI:1861138802
Name:ACCURATE CLINICAL LABORATORY CORP.
Entity type:Organization
Organization Name:ACCURATE CLINICAL LABORATORY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, DOM, LAC
Authorized Official - Phone:626-667-7848
Mailing Address - Street 1:18800 AMAR RD STE C11
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4561
Mailing Address - Country:US
Mailing Address - Phone:626-667-7848
Mailing Address - Fax:626-608-0318
Practice Address - Street 1:18800 AMAR RD STE C11
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4561
Practice Address - Country:US
Practice Address - Phone:626-667-7848
Practice Address - Fax:626-608-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D2255280OtherCLINICAL LABORATORY IMPROVEMENT AMENDMENT (CLIA) NUMBER