12D1015773 CLIA NUMBER - OWEN NISHIKAWA MD

Laboratory Demographics

  • CLIA Code: 12D1015773
  • Facility Name: OWEN NISHIKAWA MD
  • Facility Address: 321 N KUAKINI ST #304
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 536-5383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OWEN K. NISHIKAWA MD
  • NPI Number: 1053471797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1015773
LAB Type Physician Office
Facility Name OWEN NISHIKAWA MD
Street 321 N KUAKINI ST #304
City HONOLULU
State HI
ZIP 96814
Phone 808 536-5383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director OWEN K. NISHIKAWA MD

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