12D2005976 CLIA NUMBER - ALOHA MED GRP LLC

Laboratory Demographics

  • CLIA Code: 12D2005976
  • Facility Name: ALOHA MED GRP LLC
  • Facility Address: 1380 LUSITANA ST 612
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 450-2290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONSICHA DINH
  • NPI Number: 1538306188
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2005976
LAB Type Physician Office
Facility Name ALOHA MED GRP LLC
Street 1380 LUSITANA ST 612
City HONOLULU
State HI
ZIP 96813
Phone 808 450-2290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director MONSICHA DINH

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