12D2180243 CLIA NUMBER - USRC WAIPIO, LLC DBA US RENAL CARE WAIPIO DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2180243
  • Facility Name: USRC WAIPIO, LLC DBA US RENAL CARE WAIPIO DIALYSIS
  • Facility Address: 94-1042 KA UKA BLVD STE 100
    WAIPAHU, HI
    ZIP 96797
  • Facility Phone: 808 664-8360
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NIVIN AZIZ
  • NPI Number: 1780216531
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2180243
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WAIPIO, LLC DBA US RENAL CARE WAIPIO DIALYSIS
Street 94-1042 KA UKA BLVD STE 100
City WAIPAHU
State HI
ZIP 96797
Phone 808 664-8360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NIVIN AZIZ

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