12D0994242 CLIA NUMBER - HAROLD NILSSON, MD, LLC

Laboratory Demographics

  • CLIA Code: 12D0994242
  • Facility Name: HAROLD NILSSON, MD, LLC
  • Facility Address: 1441 KAPIOLANI BLVD, STE 825
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 941-2772
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HAROLD NILSSON, MD
  • NPI Number: 1174544878
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D0994242
LAB Type Physician Office
Facility Name HAROLD NILSSON, MD, LLC
Street 1441 KAPIOLANI BLVD, STE 825
City HONOLULU
State HI
ZIP 96814
Phone 808 941-2772
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 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director HAROLD NILSSON, MD

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