12D2058642 CLIA NUMBER - HAWAII VISION CLINIC, INC

Laboratory Demographics

  • CLIA Code: 12D2058642
  • Facility Name: HAWAII VISION CLINIC, INC
  • Facility Address: 99-128 AIEA HEIGHTS DR STE 703
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 487-7938
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM K. WONG JR
  • NPI Number: 1912928367
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 12D2058642
LAB Type Physician Office
Facility Name HAWAII VISION CLINIC, INC
Street 99-128 AIEA HEIGHTS DR STE 703
City AIEA
State HI
ZIP 96701
Phone 808 487-7938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director DR. WILLIAM K. WONG JR

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