12D2108755 CLIA NUMBER - CARLOS A OMPHROY MD INC

Laboratory Demographics

  • CLIA Code: 12D2108755
  • Facility Name: CARLOS A OMPHROY MD INC
  • Facility Address: 95-720 LANIKUHANA AVE SUITE 110
    MILILANI, HI
    ZIP 96789
  • Facility Phone: 808 625-5577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARLOS A. OMPHROY
  • NPI Number: 1437165396
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 12D2108755
LAB Type Physician Office
Facility Name CARLOS A OMPHROY MD INC
Street 95-720 LANIKUHANA AVE SUITE 110
City MILILANI
State HI
ZIP 96789
Phone 808 625-5577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director DR. CARLOS A. OMPHROY

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