12D0620148 CLIA NUMBER - LISA L WONG MD INC

Laboratory Demographics

  • CLIA Code: 12D0620148
  • Facility Name: LISA L WONG MD INC
  • Facility Address: 1380 LUSITANA ST, #506
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 524-6922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA L. WONG MD
  • NPI Number: 1891760260
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0620148
LAB Type Physician Office
Facility Name LISA L WONG MD INC
Street 1380 LUSITANA ST, #506
City HONOLULU
State HI
ZIP 96813
Phone 808 524-6922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director LISA L. WONG MD

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