12D0931657 CLIA NUMBER - YOUNG RHAN KIM MD INC

Laboratory Demographics

  • CLIA Code: 12D0931657
  • Facility Name: YOUNG RHAN KIM MD INC
  • Facility Address: 868 ULULANI STREET #109
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 935-3909
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUNG RHAN KIM MD
  • NPI Number: 1548466196
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0931657
LAB Type Physician Office
Facility Name YOUNG RHAN KIM MD INC
Street 868 ULULANI STREET #109
City HILO
State HI
ZIP 96720
Phone 808 935-3909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director YOUNG RHAN KIM MD

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