12D1073880 CLIA NUMBER - MICHAEL BORNEMANN MD LLC

Laboratory Demographics

  • CLIA Code: 12D1073880
  • Facility Name: MICHAEL BORNEMANN MD LLC
  • Facility Address: 2228LILIHA ST STE 202
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 585-0741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL BORNEMANN, MD
  • NPI Number: 1184622920
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 12D1073880
LAB Type Physician Office
Facility Name MICHAEL BORNEMANN MD LLC
Street 2228LILIHA ST STE 202
City HONOLULU
State HI
ZIP 96817
Phone 808 585-0741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director MICHAEL BORNEMANN, MD

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