12D2046004 CLIA NUMBER - JEFFREY H CHESTER DO

Laboratory Demographics

  • CLIA Code: 12D2046004
  • Facility Name: JEFFREY H CHESTER DO
  • Facility Address: 1063 LOWER MAIN ST, STE C212
    WAILUKU, HI
    ZIP 96793
  • Facility Phone: 808 249-8887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY H. CHESTER
  • NPI Number: 1871686477
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 12D2046004
LAB Type Physician Office
Facility Name JEFFREY H CHESTER DO
Street 1063 LOWER MAIN ST, STE C212
City WAILUKU
State HI
ZIP 96793
Phone 808 249-8887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director DR. JEFFREY H. CHESTER

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