12D1091452 CLIA NUMBER - MARC R MIYASAKI MD

Laboratory Demographics

  • CLIA Code: 12D1091452
  • Facility Name: MARC R MIYASAKI MD
  • Facility Address: 550 S BERETANIA ST #605
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 548-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC R. MIYASAKI, MD
  • NPI Number: 1760644389
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D1091452
LAB Type Physician Office
Facility Name MARC R MIYASAKI MD
Street 550 S BERETANIA ST #605
City HONOLULU
State HI
ZIP 96813
Phone 808 548-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director MARC R. MIYASAKI, MD

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