12D1027002 CLIA NUMBER - GERALD H WATANABE, MD, LLC

Laboratory Demographics

  • CLIA Code: 12D1027002
  • Facility Name: GERALD H WATANABE, MD, LLC
  • Facility Address: 321 NORTH KUAKINI STREET, SUITE 802
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 529-8801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERALD H. WATANABE
  • NPI Number: 1770660581
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1027002
LAB Type Physician Office
Facility Name GERALD H WATANABE, MD, LLC
Street 321 NORTH KUAKINI STREET, SUITE 802
City HONOLULU
State HI
ZIP 96817
Phone 808 529-8801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director GERALD H. WATANABE

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