12D0692532 CLIA NUMBER - CARLOS B C LAM MD

Laboratory Demographics

  • CLIA Code: 12D0692532
  • Facility Name: CARLOS B C LAM MD
  • Facility Address: 803 KAMEHAMEHA HWY 412
    PEARL CITY, HI
    ZIP 96782
  • Facility Phone: 808 455-9095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS B. LAM
  • NPI Number: 1831560374
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0692532
LAB Type Physician Office
Facility Name CARLOS B C LAM MD
Street 803 KAMEHAMEHA HWY 412
City PEARL CITY
State HI
ZIP 96782
Phone 808 455-9095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director CARLOS B. LAM

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