12D2230982 CLIA NUMBER - PROJECT VISION HAWAII

Laboratory Demographics

  • CLIA Code: 12D2230982
  • Facility Name: PROJECT VISION HAWAII
  • Facility Address: 810 N VINEYARD BLVD
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 201-3937
  • Facility Type: Other - MOBILE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: THERESA KIRESUK
  • NPI Number: 1629534268
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 12D2230982
LAB Type Other - MOBILE HEALTH CLINIC
Facility Name PROJECT VISION HAWAII
Street 810 N VINEYARD BLVD
City HONOLULU
State HI
ZIP 96817
Phone 808 201-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Other - MOBILE HEALTH CLINIC
Lab Director THERESA KIRESUK

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