12D2205055 CLIA NUMBER - USRC WAIANAE, LLC DBA US RENAL CARE WAIANAE DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2205055
  • Facility Name: USRC WAIANAE, LLC DBA US RENAL CARE WAIANAE DIALYSIS
  • Facility Address: 86-120 FARRINGTON HWY, STE B211
    WAIANAE, HI
    ZIP 96792
  • Facility Phone: 808 664-8350
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NIVIN AZIZ
  • NPI Number: 1578160909
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2205055
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WAIANAE, LLC DBA US RENAL CARE WAIANAE DIALYSIS
Street 86-120 FARRINGTON HWY, STE B211
City WAIANAE
State HI
ZIP 96792
Phone 808 664-8350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
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