12D2275009 CLIA NUMBER - CHARLIE Y SONIDO MD LLC/PRIMARY CARE CLINIC HAWAII

Laboratory Demographics

  • CLIA Code: 12D2275009
  • Facility Name: CHARLIE Y SONIDO MD LLC/PRIMARY CARE CLINIC HAWAII
  • Facility Address: 1022 GULICK AVE
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 847-4659
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLIE Y. SONIDO
  • NPI Number: 1720381320
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 12D2275009
LAB Type Physician Office
Facility Name CHARLIE Y SONIDO MD LLC/PRIMARY CARE CLINIC HAWAII
Street 1022 GULICK AVE
City HONOLULU
State HI
ZIP 96819
Phone 808 847-4659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director DR. CHARLIE Y. SONIDO

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This page was last updated on: 3/20/2025