12D1041362 CLIA NUMBER - IVF HAWAII THE QUEEN'S PHYSICIANS OFFICE BUILDING II

Laboratory Demographics

  • CLIA Code: 12D1041362
  • Facility Name: IVF HAWAII THE QUEEN'S PHYSICIANS OFFICE BUILDING II
  • Facility Address: 1329 LUSITANA STREET, SUITE 607
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 538-6655
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. BENTON CHUN
  • NPI Number: 1629148226
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 12D1041362
LAB Type Physician Office
Facility Name IVF HAWAII THE QUEEN'S PHYSICIANS OFFICE BUILDING II
Street 1329 LUSITANA STREET, SUITE 607
City HONOLULU
State HI
ZIP 96813
Phone 808 538-6655
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director DR. BENTON CHUN

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