12D0713997 CLIA NUMBER - RICHARD S OH MD

Laboratory Demographics

  • CLIA Code: 12D0713997
  • Facility Name: RICHARD S OH MD
  • Facility Address: 302 CALIFORNIA AVE #212
    WAHIAWA, HI
    ZIP 96786
  • Facility Phone: 808 621-7959
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD S. OH
  • NPI Number: 1083605588
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0713997
LAB Type Physician Office
Facility Name RICHARD S OH MD
Street 302 CALIFORNIA AVE #212
City WAHIAWA
State HI
ZIP 96786
Phone 808 621-7959
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 RICHARD S. OH

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