12D0990128 CLIA NUMBER - USRC KAPOLEI, LLC DBA US RENAL CARE KAPOLEI DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D0990128
  • Facility Name: USRC KAPOLEI, LLC DBA US RENAL CARE KAPOLEI DIALYSIS
  • Facility Address: 555 FARRINGTON HWY
    KAPOLEI, HI
    ZIP 96707
  • Facility Phone: 808 693-8980
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NIVIN AZIZ
  • NPI Number: 1447827472
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0990128
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC KAPOLEI, LLC DBA US RENAL CARE KAPOLEI DIALYSIS
Street 555 FARRINGTON HWY
City KAPOLEI
State HI
ZIP 96707
Phone 808 693-8980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NIVIN AZIZ

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