12D2143128 CLIA NUMBER - BRIDGET COLLINS MD LLC

Laboratory Demographics

  • CLIA Code: 12D2143128
  • Facility Name: BRIDGET COLLINS MD LLC
  • Facility Address: 3175 ELUA STREET, SUITE C
    LIHUE, HI
    ZIP 96766
  • Facility Phone: 808 212-9867
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIDGET M. COLLINS
  • NPI Number: 1033627930
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2143128
LAB Type Physician Office
Facility Name BRIDGET COLLINS MD LLC
Street 3175 ELUA STREET, SUITE C
City LIHUE
State HI
ZIP 96766
Phone 808 212-9867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director DR. BRIDGET M. COLLINS

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