12D0945710 CLIA NUMBER - MAGDY METTIAS, MD

Laboratory Demographics

  • CLIA Code: 12D0945710
  • Facility Name: MAGDY METTIAS, MD
  • Facility Address: 94-300 FARRINGTON HWY, #E-06
    WAIPAHU, HI
    ZIP 96797
  • Facility Phone: 808 671-1988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAGDY A. METTIAS
  • NPI Number: 1033276209
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0945710
LAB Type Physician Office
Facility Name MAGDY METTIAS, MD
Street 94-300 FARRINGTON HWY, #E-06
City WAIPAHU
State HI
ZIP 96797
Phone 808 671-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director MAGDY A. METTIAS

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