12D0941292 CLIA NUMBER - GODOFREDO B BACLIG MD INC

Laboratory Demographics

  • CLIA Code: 12D0941292
  • Facility Name: GODOFREDO B BACLIG MD INC
  • Facility Address: 405 N KUAKINI ST SUITE 1112
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 524-5024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GODOFREDO B. BACLIG
  • NPI Number: 1114010709
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0941292
LAB Type Physician Office
Facility Name GODOFREDO B BACLIG MD INC
Street 405 N KUAKINI ST SUITE 1112
City HONOLULU
State HI
ZIP 96817
Phone 808 524-5024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director GODOFREDO B. BACLIG

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