12D1057830 CLIA NUMBER - THU NGUYEN MD LLC

Laboratory Demographics

  • CLIA Code: 12D1057830
  • Facility Name: THU NGUYEN MD LLC
  • Facility Address: 868 ULULANI ST #105
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 961-5522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THU NGUYEN
  • NPI Number: 1831137447
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D1057830
LAB Type Physician Office
Facility Name THU NGUYEN MD LLC
Street 868 ULULANI ST #105
City HILO
State HI
ZIP 96720
Phone 808 961-5522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director THU NGUYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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