12D0928315 CLIA NUMBER - OAHU DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 12D0928315
  • Facility Name: OAHU DERMATOLOGY LLC
  • Facility Address: 1329 LUSITANA ST, #109
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 536-9888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CARLA J. NIP SAKAMOTO MD
  • NPI Number: 1093134215
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0928315
LAB Type Physician Office
Facility Name OAHU DERMATOLOGY LLC
Street 1329 LUSITANA ST, #109
City HONOLULU
State HI
ZIP 96813
Phone 808 536-9888
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director CARLA J. NIP SAKAMOTO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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