12D2173089 CLIA NUMBER - OAHU KIDNEY CARE LLC

Laboratory Demographics

  • CLIA Code: 12D2173089
  • Facility Name: OAHU KIDNEY CARE LLC
  • Facility Address: 1380 LUSITANA ST STE 907
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 638-2642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KUNAL K. PAREKH
  • NPI Number: 1063994606
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2173089
LAB Type Physician Office
Facility Name OAHU KIDNEY CARE LLC
Street 1380 LUSITANA ST STE 907
City HONOLULU
State HI
ZIP 96813
Phone 808 638-2642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director KUNAL K. PAREKH

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