12D0619799 CLIA NUMBER - USRC WAHIAWA, LLC DBA US RENAL CARE WAHIAWA DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D0619799
  • Facility Name: USRC WAHIAWA, LLC DBA US RENAL CARE WAHIAWA DIALYSIS
  • Facility Address: 850 KILANI AVENUE
    WAHIAWA, HI
    ZIP 96786
  • Facility Phone: 808 621-5151
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SORKKO THIRUNAVUKKARASU
  • NPI Number: 1437726296
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0619799
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WAHIAWA, LLC DBA US RENAL CARE WAHIAWA DIALYSIS
Street 850 KILANI AVENUE
City WAHIAWA
State HI
ZIP 96786
Phone 808 621-5151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SORKKO THIRUNAVUKKARASU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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