12D0620130 CLIA NUMBER - KATHLEEN E MIN, MD, LLC

Laboratory Demographics

  • CLIA Code: 12D0620130
  • Facility Name: KATHLEEN E MIN, MD, LLC
  • Facility Address: 1380 LUSITANA ST SUITE 515
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 523-3859
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN E. MIN
  • NPI Number: 1255482238
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0620130
LAB Type Physician Office
Facility Name KATHLEEN E MIN, MD, LLC
Street 1380 LUSITANA ST SUITE 515
City HONOLULU
State HI
ZIP 96813
Phone 808 523-3859
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 KATHLEEN E. MIN

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