12D2236001 CLIA NUMBER - SOMA CLINIC

Laboratory Demographics

  • CLIA Code: 12D2236001
  • Facility Name: SOMA CLINIC
  • Facility Address: 2155 KALAKAUA AVENUE, SUITE 319
    HONOLULU, HI
    ZIP 96815
  • Facility Phone: 808 722-4135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. YOICHI C. SOMA
  • NPI Number: 1194415935
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2236001
LAB Type Physician Office
Facility Name SOMA CLINIC
Street 2155 KALAKAUA AVENUE, SUITE 319
City HONOLULU
State HI
ZIP 96815
Phone 808 722-4135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director DR. YOICHI C. SOMA

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