12D2040530 CLIA NUMBER - INAM RAHMAN MD

Laboratory Demographics

  • CLIA Code: 12D2040530
  • Facility Name: INAM RAHMAN MD
  • Facility Address: 50 SOUTH BERETANIA ST C210B
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 526-1165
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. INAM RAHMAN
  • NPI Number: 1699023044
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2040530
LAB Type Physician Office
Facility Name INAM RAHMAN MD
Street 50 SOUTH BERETANIA ST C210B
City HONOLULU
State HI
ZIP 96813
Phone 808 526-1165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director DR. INAM RAHMAN

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