12D2174193 CLIA NUMBER - EDWIN Y ENDO, OD

Laboratory Demographics

  • CLIA Code: 12D2174193
  • Facility Name: EDWIN Y ENDO, OD
  • Facility Address: 98-1247 KAAHUMANU ST 105
    AIEA, HI
    ZIP 96701
  • Facility Phone: 080 487-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN Y. ENDO
  • NPI Number: 1073975843
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 12D2174193
LAB Type Physician Office
Facility Name EDWIN Y ENDO, OD
Street 98-1247 KAAHUMANU ST 105
City AIEA
State HI
ZIP 96701
Phone 080 487-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director EDWIN Y. ENDO

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