12D1017101 CLIA NUMBER - JIRO SAEGUSA, MD

Laboratory Demographics

  • CLIA Code: 12D1017101
  • Facility Name: JIRO SAEGUSA, MD
  • Facility Address: 1441 KAPIOLANI BLVD, #1904
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: (808) 946-0990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIRO SAEGUSA
  • NPI Number: 1275710444
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D1017101
LAB Type Physician Office
Facility Name JIRO SAEGUSA, MD
Street 1441 KAPIOLANI BLVD, #1904
City HONOLULU
State HI
ZIP 96814
Phone 8089460990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director JIRO SAEGUSA

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This page was last updated on: 5/15/2026