12D1030907 CLIA NUMBER - RICHARD A RIDAO, MD, LLC

Laboratory Demographics

  • CLIA Code: 12D1030907
  • Facility Name: RICHARD A RIDAO, MD, LLC
  • Facility Address: 1451 S KING ST STE 309
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 593-2155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD A. RIDAO
  • NPI Number: 1730122060
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1030907
LAB Type Physician Office
Facility Name RICHARD A RIDAO, MD, LLC
Street 1451 S KING ST STE 309
City HONOLULU
State HI
ZIP 96814
Phone 808 593-2155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director DR. RICHARD A. RIDAO

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