12D2113999 CLIA NUMBER - USRC BERETANIA LLC DBA US RENAL CARE BERETANIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2113999
  • Facility Name: USRC BERETANIA LLC DBA US RENAL CARE BERETANIA DIALYSIS
  • Facility Address: 1908 S BERETANIA STREET, STE NO 1
    HONOLULU, HI
    ZIP 96826
  • Facility Phone: 808 947-2797
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. NOAH SOLOMON
  • NPI Number: 1366804478
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2113999
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC BERETANIA LLC DBA US RENAL CARE BERETANIA DIALYSIS
Street 1908 S BERETANIA STREET, STE NO 1
City HONOLULU
State HI
ZIP 96826
Phone 808 947-2797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. NOAH SOLOMON

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