LIBERTY DIALYSIS HAWAII-HAWAII SALT LAKE
NPI 1073060638
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Honolulu, HI

Q: What is Liberty Dialysis - Hawaii LLC's NPI number?

The NPI number for Liberty Dialysis - Hawaii LLC is 1073060638. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Liberty Dialysis Hawaii-Hawaii Salt Lake.

Q: What is Liberty Dialysis - Hawaii LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since September 01, 2016CLIA 12D2170675 · Waiver

4380 LAWEHANA ST STE 100, HONOLULU, HI 96818(808) 423-6828(808) 422-6049 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Aug 4, 2021, Nov 8, 2017 and 1 more (4 updates tracked since 2016).

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About Liberty Dialysis Hawaii-hawaii Salt Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DIALYSIS HAWAII-HAWAII SALT LAKE (NPI 1073060638) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Honolulu, Hawaii and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073060638

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLIBERTY DIALYSIS - HAWAII LLC

Location Address4380 LAWEHANA ST STE 100Honolulu, HI 96818-3129

Mailing Address4380 Lawehana St Ste 100Honolulu, HI 96818-3129 · (808) 423-6828 · Fax (808) 422-6049

Phone(808) 423-6828

Fax(808) 422-6049

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateSeptember 1, 2016

Last NPPES UpdateOctober 19, 20234 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1073060638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

4380 LAWEHANA ST STE 100, Honolulu, HI 96818

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Other Names 1

Doing Business AsLiberty Dialysis Hawaii-hawaii Salt Lake

Other Identifiers 1

Other12-2530HI · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2170675

Liberty Dialysis Hawaii LLC - Hawaii Salt Lake · Honolulu, HI

Active · expires Aug 14, 2027

CLIA Number12D2170675

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 15, 2025

Certificate Expiration DateAugust 14, 2027

Laboratory DirectorDr. Akika Ando

Laboratory Phone(808) 423-6828

Laboratory LocationLiberty Dialysis Hawaii LLC - Hawaii Salt Lake4380 Lawehana Street, Suite 100, Honolulu, HI 96818

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN NGUYEN RDN, LD, CSR

Dietitian, Registered

4380 LAWEHANA ST STE 100
HONOLULU, HI 96818

Honolulu County (949) 929-4797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Dialysis - Hawaii LLC's NPI number?

The NPI number for Liberty Dialysis - Hawaii LLC is 1073060638. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Liberty Dialysis Hawaii-Hawaii Salt Lake.

Where is Liberty Dialysis - Hawaii LLC located?

Liberty Dialysis - Hawaii LLC is located at 4380 Lawehana St Ste 100, Honolulu, HI 96818. The listed phone number is (808) 423-6828.

What is Liberty Dialysis - Hawaii LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Liberty Dialysis - Hawaii LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2170675) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Dialysis - Hawaii LLC accept?

Health plans from HMSA list Liberty Dialysis - Hawaii LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Dialysis - Hawaii LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.