12D0934768 CLIA NUMBER - BENJAMIN V GOZUN III MD INC

Laboratory Demographics

  • CLIA Code: 12D0934768
  • Facility Name: BENJAMIN V GOZUN III MD INC
  • Facility Address: 94-216 FARRINGTON HWY MAILBOX 318 OFFICE B2-101
    WAIPAHU, HI
    ZIP 96797
  • Facility Phone: 808 678-0091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BENJAMIN GOZUN
  • NPI Number: 1598853012
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0934768
LAB Type Physician Office
Facility Name BENJAMIN V GOZUN III MD INC
Street 94-216 FARRINGTON HWY MAILBOX 318 OFFICE B2-101
City WAIPAHU
State HI
ZIP 96797
Phone 808 678-0091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director DR. BENJAMIN GOZUN

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