12D0939053 CLIA NUMBER - JOSHUA TAN MD

Laboratory Demographics

  • CLIA Code: 12D0939053
  • Facility Name: JOSHUA TAN MD
  • Facility Address: 1451 S KING ST #405
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 949-8988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA TAN
  • NPI Number: 1922297845
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0939053
LAB Type Physician Office
Facility Name JOSHUA TAN MD
Street 1451 S KING ST #405
City HONOLULU
State HI
ZIP 96814
Phone 808 949-8988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director JOSHUA TAN

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