12D0876074 CLIA NUMBER - BRADON KIMURA MD INC

Laboratory Demographics

  • CLIA Code: 12D0876074
  • Facility Name: BRADON KIMURA MD INC
  • Facility Address: 81 937 HALEKII ST
    KEALAKEKUA, HI
    ZIP 96750
  • Facility Phone: 808 322-5001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADON Y. KIMURA
  • NPI Number: 1356333512
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0876074
LAB Type Physician Office
Facility Name BRADON KIMURA MD INC
Street 81 937 HALEKII ST
City KEALAKEKUA
State HI
ZIP 96750
Phone 808 322-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director BRADON Y. KIMURA

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