12D0688865 CLIA NUMBER - QUEEN'S DECENTRALIZED TESTING-DLS

Laboratory Demographics

  • CLIA Code: 12D0688865
  • Facility Name: QUEEN'S DECENTRALIZED TESTING-DLS
  • Facility Address: 1301 PUNCHBOWL STREET
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 356-7700
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. ANA M. ORTEGA LOPEZ
  • NPI Number: 1164949558
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0688865
LAB Type Ancillary Testing Site in Health Care Center
Facility Name QUEEN'S DECENTRALIZED TESTING-DLS
Street 1301 PUNCHBOWL STREET
City HONOLULU
State HI
ZIP 96813
Phone 808 356-7700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. ANA M. ORTEGA LOPEZ

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