12D0871072 CLIA NUMBER - CONCENTRA MEDICAL CENTER - HONOLULU

Laboratory Demographics

  • CLIA Code: 12D0871072
  • Facility Name: CONCENTRA MEDICAL CENTER - HONOLULU
  • Facility Address: 545 OHOHIA STREET
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 831-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHY T. LE
  • NPI Number: 1619126653
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0871072
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTER - HONOLULU
Street 545 OHOHIA STREET
City HONOLULU
State HI
ZIP 96819
Phone 808 831-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director KATHY T. LE

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