12D0620643 CLIA NUMBER - STELLA S MATSUDA MD INC

Laboratory Demographics

  • CLIA Code: 12D0620643
  • Facility Name: STELLA S MATSUDA MD INC
  • Facility Address: 405 N KUAKINI ST #703
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 949-1330
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STELLA S. MATSUDA
  • NPI Number: 1528106671
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 12D0620643
LAB Type Physician Office
Facility Name STELLA S MATSUDA MD INC
Street 405 N KUAKINI ST #703
City HONOLULU
State HI
ZIP 96817
Phone 808 949-1330
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STELLA S. MATSUDA

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