12D0678372 CLIA NUMBER - PAUL S TAKIGUCHI MD

Laboratory Demographics

  • CLIA Code: 12D0678372
  • Facility Name: PAUL S TAKIGUCHI MD
  • Facility Address: 550 S BERETANIA ST SUITE 603
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 487-0083
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL S. TAKIGUCHI
  • NPI Number: 1134187602
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 12D0678372
LAB Type Physician Office
Facility Name PAUL S TAKIGUCHI MD
Street 550 S BERETANIA ST SUITE 603
City HONOLULU
State HI
ZIP 96813
Phone 808 487-0083
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 PAUL S. TAKIGUCHI

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