12D1014755 CLIA NUMBER - OKAHARA & OLSEN, MD, INC

Laboratory Demographics

  • CLIA Code: 12D1014755
  • Facility Name: OKAHARA & OLSEN, MD, INC
  • Facility Address: 670 PONAHAWAI ST, #208
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 935-2112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS C. OLSEN
  • NPI Number: 1942409040
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1014755
LAB Type Physician Office
Facility Name OKAHARA & OLSEN, MD, INC
Street 670 PONAHAWAI ST, #208
City HILO
State HI
ZIP 96720
Phone 808 935-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director DOUGLAS C. OLSEN

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