12D0952613 CLIA NUMBER - YOUNGKYO KIM, MD

Laboratory Demographics

  • CLIA Code: 12D0952613
  • Facility Name: YOUNGKYO KIM, MD
  • Facility Address: 1441 KAPIOLANI BLVD, #1218
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 955-0104
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YOUNGKYO KIM MD
  • NPI Number: 1164476529
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0952613
LAB Type Physician Office
Facility Name YOUNGKYO KIM, MD
Street 1441 KAPIOLANI BLVD, #1218
City HONOLULU
State HI
ZIP 96814
Phone 808 955-0104
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director YOUNGKYO KIM MD

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