12D0672882 CLIA NUMBER - RANJINI KANDASAMY MD

Laboratory Demographics

  • CLIA Code: 12D0672882
  • Facility Name: RANJINI KANDASAMY MD
  • Facility Address: 99-128 AIEA HEIGHTS DR SUITE 106
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 487-8990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANJINI KANDASAMY
  • NPI Number: 1700983400
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D0672882
LAB Type Physician Office
Facility Name RANJINI KANDASAMY MD
Street 99-128 AIEA HEIGHTS DR SUITE 106
City AIEA
State HI
ZIP 96701
Phone 808 487-8990
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 RANJINI KANDASAMY

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