12D2165643 CLIA NUMBER - RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE

Laboratory Demographics

CLIA Number: 12D2165643

Facility Name: RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE

Facility Address:
1325 S KIHEI ROAD SUITE 103
KIHEI, HI
ZIP 96753
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Facility Phone Number: 808 667-6161

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982094652

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	12D2165643
LAB Type	Physician Office
Facility Name	RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE
Street	1325 S KIHEI ROAD SUITE 103
City	KIHEI
State	HI
ZIP	96753
Phone	808 667-6161
CertificateType	4
CertificateEffectiveDate	5/2/2023
CertificateExpirationDate	5/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024