12D1070937 CLIA NUMBER - USRC KAPAHULU, LLC DBA US RENAL CARE KAPAHULU DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D1070937
  • Facility Name: USRC KAPAHULU, LLC DBA US RENAL CARE KAPAHULU DIALYSIS
  • Facility Address: 750 PALANI AVENUE
    HONOLULU, HI
    ZIP 96816
  • Facility Phone: 808 732-7702
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NOAH SOLOMON
  • NPI Number: 1801463823
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D1070937
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC KAPAHULU, LLC DBA US RENAL CARE KAPAHULU DIALYSIS
Street 750 PALANI AVENUE
City HONOLULU
State HI
ZIP 96816
Phone 808 732-7702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NOAH SOLOMON

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