12D0618950 CLIA NUMBER - SYDNEY TATSUNO MD

Laboratory Demographics

  • CLIA Code: 12D0618950
  • Facility Name: SYDNEY TATSUNO MD
  • Facility Address: 868 ULULANI STREET SUITE 102
    HILO, HI
    ZIP 96720
  • Facility Phone: 508 969-1671
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYDNEY Y. TATSUNO
  • NPI Number: 1467547307
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0618950
LAB Type Physician Office
Facility Name SYDNEY TATSUNO MD
Street 868 ULULANI STREET SUITE 102
City HILO
State HI
ZIP 96720
Phone 508 969-1671
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 SYDNEY Y. TATSUNO

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