12D0992575 CLIA NUMBER - RANDALL J NITTA, MD

Laboratory Demographics

  • CLIA Code: 12D0992575
  • Facility Name: RANDALL J NITTA, MD
  • Facility Address: 98-1247 KAAHUMANU ST SUITE 306
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 260-4404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL J. NITTA
  • NPI Number: 1588757066
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0992575
LAB Type Physician Office
Facility Name RANDALL J NITTA, MD
Street 98-1247 KAAHUMANU ST SUITE 306
City AIEA
State HI
ZIP 96701
Phone 808 260-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director RANDALL J. NITTA

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