12D2141821 CLIA NUMBER - EMI OTA MD INC

Laboratory Demographics

  • CLIA Code: 12D2141821
  • Facility Name: EMI OTA MD INC
  • Facility Address: 850 WEST HIND DR #205
    HONOLULU, HI
    ZIP 96821
  • Facility Phone: 808 377-3191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMI OTA
  • NPI Number: 1790230480
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2141821
LAB Type Physician Office
Facility Name EMI OTA MD INC
Street 850 WEST HIND DR #205
City HONOLULU
State HI
ZIP 96821
Phone 808 377-3191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director DR. EMI OTA

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