12D1059300 CLIA NUMBER - GRACE KAR-YING WONG MD LLC

Laboratory Demographics

  • CLIA Code: 12D1059300
  • Facility Name: GRACE KAR-YING WONG MD LLC
  • Facility Address: 1329 LUSITANA ST #709
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 522-7380
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRACE K. WONG MD
  • NPI Number: 1932286432
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 12D1059300
LAB Type Physician Office
Facility Name GRACE KAR-YING WONG MD LLC
Street 1329 LUSITANA ST #709
City HONOLULU
State HI
ZIP 96813
Phone 808 522-7380
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director GRACE K. WONG MD

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