12D2324695 CLIA NUMBER - DERMSPACE HAWAII LLC

Laboratory Demographics

  • CLIA Code: 12D2324695
  • Facility Name: DERMSPACE HAWAII LLC
  • Facility Address: 1319 PUNAHOU ST STE 1000
    HONOLULU, HI
    ZIP 96826
  • Facility Phone: 808 375-5514
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KAITLYN M. YIM
  • NPI Number: 1881404242
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 12D2324695
LAB Type Physician Office
Facility Name DERMSPACE HAWAII LLC
Street 1319 PUNAHOU ST STE 1000
City HONOLULU
State HI
ZIP 96826
Phone 808 375-5514
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director KAITLYN M. YIM

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