12D2028355 CLIA NUMBER - WINDWARD OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 12D2028355
  • Facility Name: WINDWARD OBSTETRICS AND GYNECOLOGY
  • Facility Address: 46-001 KAMEHAMEHA HIGHWAY #204A
    KANEOHE, HI
    ZIP 96744
  • Facility Phone: 808 235-8000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LI DUEN CLARK
  • NPI Number: 1063543106
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 12D2028355
LAB Type Physician Office
Facility Name WINDWARD OBSTETRICS AND GYNECOLOGY
Street 46-001 KAMEHAMEHA HIGHWAY #204A
City KANEOHE
State HI
ZIP 96744
Phone 808 235-8000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director LI DUEN CLARK

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