12D0960903 CLIA NUMBER - DAVID Y NAKAMURA MD INC

Laboratory Demographics

  • CLIA Code: 12D0960903
  • Facility Name: DAVID Y NAKAMURA MD INC
  • Facility Address: 670 PONAHAWAI STREET #216
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 934-8989
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID Y. NAKAMURA
  • NPI Number: 1194887067
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0960903
LAB Type Physician Office
Facility Name DAVID Y NAKAMURA MD INC
Street 670 PONAHAWAI STREET #216
City HILO
State HI
ZIP 96720
Phone 808 934-8989
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 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director DAVID Y. NAKAMURA

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This page was last updated on: 6/4/2025