12D1081911 CLIA NUMBER - OAHU PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 12D1081911
  • Facility Name: OAHU PEDIATRIC GROUP
  • Facility Address: 1441 KAPIOLANI BLVD STE 607
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 947-2345
  • Facility Type: Other - MEDICAL GROUP
  • Facility Type: Waiver
  • Lab Director: ROBERT SALYER
  • NPI Number: 1700651445
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D1081911
LAB Type Other - MEDICAL GROUP
Facility Name OAHU PEDIATRIC GROUP
Street 1441 KAPIOLANI BLVD STE 607
City HONOLULU
State HI
ZIP 96814
Phone 808 947-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Other - MEDICAL GROUP
Lab Director ROBERT SALYER

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