NANCY S. CLARKE, M.D. LLC
NPI 1417592254
Clinic/Center - Primary Care in Aiea, HI

Active since November 15, 2019CLIA 12D0677456 · Waiver
98-211 PALI MOMI ST STE 800, AIEA, HI 96701(808) 487-1559 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Nov 15, 2019 (2 updates tracked since 2019).

About Nancy S. Clarke, M.d. Llc NPPES

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

NANCY S. CLARKE, M.D. LLC (NPI 1417592254) is a healthcare organization registered as a primary care in Aiea, Hawaii and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nancy S. Clarke, Owner, as its authorized official.

NPPES Registry Identity

NPI1417592254
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNANCY S. CLARKE, M.D. LLC
Location Address98-211 PALI MOMI ST STE 800Aiea, HI 96701-4370
Mailing Address98-211 Pali Momi St Ste 800Aiea, HI 96701-4370 · (808) 487-1559
Organization SubpartNo
Authorized OfficialNancy S. ClarkeOwner · (808) 487-1559
Enumeration DateNovember 15, 2019
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1417592254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
98-211 PALI MOMI ST STE 800, Aiea, HI 96701

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 12D0677456

Nancy S Clarke MD LLC Dba Pearlridge Pediatrics · Aiea, HI
Active · expires Aug 31, 2026
CLIA Number12D0677456
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Nancy S. Clarke
Laboratory Phone(808) 487-1559
Laboratory LocationNancy S Clarke MD LLC Dba Pearlridge Pediatrics98-211 Pali Momi Ste 800, Aiea, HI 96701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nancy S. Clarke, M.D. LLC's NPI number?

The NPI number for Nancy S. Clarke, M.D. LLC is 1417592254. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Nancy S. Clarke, M.D. LLC located?

Nancy S. Clarke, M.D. LLC is located at 98-211 Pali Momi St Ste 800, Aiea, HI 96701. The listed phone number is (808) 487-1559.

What is Nancy S. Clarke, M.D. LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Nancy S. Clarke, M.D. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0677456) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nancy S. Clarke, M.D. LLC was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.