12D0674128 CLIA NUMBER - DAVID FITZ PATRICK MD

Laboratory Demographics

  • CLIA Code: 12D0674128
  • Facility Name: DAVID FITZ PATRICK MD
  • Facility Address: 1585 KAPIOLANI BLVD, SUITE 1500
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 440-4413
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. DAVID FITZ PATRICK
  • NPI Number: 1275531154
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 12D0674128
LAB Type Other - CLINIC
Facility Name DAVID FITZ PATRICK MD
Street 1585 KAPIOLANI BLVD, SUITE 1500
City HONOLULU
State HI
ZIP 96814
Phone 808 440-4413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Other - CLINIC
Lab Director DR. DAVID FITZ PATRICK

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