12D0967956 CLIA NUMBER - USRC PEARLRIDGE, LLC DBA US RENAL CARE PEARLRIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D0967956
  • Facility Name: USRC PEARLRIDGE, LLC DBA US RENAL CARE PEARLRIDGE DIALYSIS
  • Facility Address: 98-1005 MOANALUA ROAD, SUITE 420
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 440-4800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS CHEN
  • NPI Number: 1710554571
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0967956
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC PEARLRIDGE, LLC DBA US RENAL CARE PEARLRIDGE DIALYSIS
Street 98-1005 MOANALUA ROAD, SUITE 420
City AIEA
State HI
ZIP 96701
Phone 808 440-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. THOMAS CHEN

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