12D2016324 CLIA NUMBER - JUDY T OKIMURA MD LLC

Laboratory Demographics

  • CLIA Code: 12D2016324
  • Facility Name: JUDY T OKIMURA MD LLC
  • Facility Address: 1380 LUSITANA ST SUITE 404
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 951-0433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY T. OKIMURA
  • NPI Number: 1356454433
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2016324
LAB Type Physician Office
Facility Name JUDY T OKIMURA MD LLC
Street 1380 LUSITANA ST SUITE 404
City HONOLULU
State HI
ZIP 96813
Phone 808 951-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director JUDY T. OKIMURA

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