12D0619455 CLIA NUMBER - WINDWARD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 12D0619455
  • Facility Name: WINDWARD PEDIATRICS
  • Facility Address: 45-710 KAMEHAMEHA HWY
    KANEOHE, HI
    ZIP 96744
  • Facility Phone: 808 247-6644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH S. WARD
  • NPI Number: 1528085222
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 12D0619455
LAB Type Physician Office
Facility Name WINDWARD PEDIATRICS
Street 45-710 KAMEHAMEHA HWY
City KANEOHE
State HI
ZIP 96744
Phone 808 247-6644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. JOSEPH S. WARD

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