12D1080962 CLIA NUMBER - USRC KO'OLAU LLC DBA US RENAL CARE KO'OLAU DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D1080962
  • Facility Name: USRC KO'OLAU LLC DBA US RENAL CARE KO'OLAU DIALYSIS
  • Facility Address: 47-388 HUI IWA STREET 2ND FLOOR
    KANEOHE, HI
    ZIP 96744
  • Facility Phone: 808 239-3400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID ONO
  • NPI Number: 1568039329
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D1080962
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC KO'OLAU LLC DBA US RENAL CARE KO'OLAU DIALYSIS
Street 47-388 HUI IWA STREET 2ND FLOOR
City KANEOHE
State HI
ZIP 96744
Phone 808 239-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DAVID ONO

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