12D2269610 CLIA NUMBER - PRIMARY CARE PLUS

Laboratory Demographics

  • CLIA Code: 12D2269610
  • Facility Name: PRIMARY CARE PLUS
  • Facility Address: 98-199 KAMEHAMEHA HIGHWAY UNIT C-10B
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 954-4500
  • Facility Type: Other - PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: DR. KY H. LE
  • NPI Number: 1982270831
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2269610
LAB Type Other - PRIMARY CARE
Facility Name PRIMARY CARE PLUS
Street 98-199 KAMEHAMEHA HIGHWAY UNIT C-10B
City AIEA
State HI
ZIP 96701
Phone 808 954-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Other - PRIMARY CARE
Lab Director DR. KY H. LE

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