12D2193977 CLIA NUMBER - 5 MINUTE PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 12D2193977
  • Facility Name: 5 MINUTE PHARMACY LLC
  • Facility Address: 94-216 FARRINGTON HWY #B1-102
    WAIPAHU, HI
    ZIP 96797
  • Facility Phone: (808) 677-5550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK M. TENGAN
  • NPI Number: 1588988257
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 12D2193977
LAB Type Pharmacy
Facility Name 5 MINUTE PHARMACY LLC
Street 94-216 FARRINGTON HWY #B1-102
City WAIPAHU
State HI
ZIP 96797
Phone 8086775550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Pharmacy
Lab Director DEREK M. TENGAN

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This page was last updated on: 5/18/2026