12D1003435 CLIA NUMBER - ANGELA M PRATT, MD

Laboratory Demographics

  • CLIA Code: 12D1003435
  • Facility Name: ANGELA M PRATT, MD
  • Facility Address: 1319 PUNAHOU ST, #920
    HONOLULU, HI
    ZIP 96826
  • Facility Phone: 808 948-8788
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANGELA M. PRATT, MD
  • NPI Number: 1821012741
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 12D1003435
LAB Type Physician Office
Facility Name ANGELA M PRATT, MD
Street 1319 PUNAHOU ST, #920
City HONOLULU
State HI
ZIP 96826
Phone 808 948-8788
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 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director ANGELA M. PRATT, MD

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