12D1041197 CLIA NUMBER - BLANE K CHONG, MD

Laboratory Demographics

  • CLIA Code: 12D1041197
  • Facility Name: BLANE K CHONG, MD
  • Facility Address: 3221 WAIALAE AVENUE, #390
    HONOLULU, HI
    ZIP 96816
  • Facility Phone: 808 732-9710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLANE K. CHONG
  • NPI Number: 1669584967
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1041197
LAB Type Physician Office
Facility Name BLANE K CHONG, MD
Street 3221 WAIALAE AVENUE, #390
City HONOLULU
State HI
ZIP 96816
Phone 808 732-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director BLANE K. CHONG

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