12D0618916 CLIA NUMBER - BRENDA M K CAMACHO, MD

Laboratory Demographics

  • CLIA Code: 12D0618916
  • Facility Name: BRENDA M K CAMACHO, MD
  • Facility Address: 615 PONAHAWAI STREET, STE 201
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 935-1621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRENDA CAMACHO
  • NPI Number: 1255407995
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D0618916
LAB Type Physician Office
Facility Name BRENDA M K CAMACHO, MD
Street 615 PONAHAWAI STREET, STE 201
City HILO
State HI
ZIP 96720
Phone 808 935-1621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. BRENDA CAMACHO

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