12D0978878 CLIA NUMBER - JOHN M NAGAMINE, MD INC

Laboratory Demographics

  • CLIA Code: 12D0978878
  • Facility Name: JOHN M NAGAMINE, MD INC
  • Facility Address: 642 ULUKAHIKI STREET, STE 304
    KAILUA, HI
    ZIP 96734
  • Facility Phone: 808 262-5060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN NAGAMINE
  • NPI Number: 1245218577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D0978878
LAB Type Physician Office
Facility Name JOHN M NAGAMINE, MD INC
Street 642 ULUKAHIKI STREET, STE 304
City KAILUA
State HI
ZIP 96734
Phone 808 262-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director JOHN NAGAMINE

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