12D0621384 CLIA NUMBER - JEFFREY LIM MD

Laboratory Demographics

  • CLIA Code: 12D0621384
  • Facility Name: JEFFREY LIM MD
  • Facility Address: 2525 S KING ST, #308
    HONOLULU, HI
    ZIP 96826
  • Facility Phone: 808 941-7766
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY LIM
  • NPI Number: 1508857384
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D0621384
LAB Type Physician Office
Facility Name JEFFREY LIM MD
Street 2525 S KING ST, #308
City HONOLULU
State HI
ZIP 96826
Phone 808 941-7766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director JEFFREY LIM

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