12D2025744 CLIA NUMBER - SHIGEMI SUGIKI, MD & JON M PORTIS, MD, INC

Laboratory Demographics

  • CLIA Code: 12D2025744
  • Facility Name: SHIGEMI SUGIKI, MD & JON M PORTIS, MD, INC
  • Facility Address: 1380 LUSITANA ST STE 714
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 528-5333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JON M. PORTIS
  • NPI Number: 1447350038
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 12D2025744
LAB Type Physician Office
Facility Name SHIGEMI SUGIKI, MD & JON M PORTIS, MD, INC
Street 1380 LUSITANA ST STE 714
City HONOLULU
State HI
ZIP 96813
Phone 808 528-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Physician Office
Lab Director DR. JON M. PORTIS

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