12D2062416 CLIA NUMBER - DSI WAIPAHU, LLC DBA US RENAL CARE WAIPAHU DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2062416
  • Facility Name: DSI WAIPAHU, LLC DBA US RENAL CARE WAIPAHU DIALYSIS
  • Facility Address: 94-862 KAHUILANI ST
    WAIPAHU, HI
    ZIP 96797
  • Facility Phone: 808 678-6757
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SORKKO THIRUNAVUKKARASU
  • NPI Number: 1497017495
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2062416
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DSI WAIPAHU, LLC DBA US RENAL CARE WAIPAHU DIALYSIS
Street 94-862 KAHUILANI ST
City WAIPAHU
State HI
ZIP 96797
Phone 808 678-6757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SORKKO THIRUNAVUKKARASU

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