12D0620086 CLIA NUMBER - HAWAII PACIFIC HEALTH MEDICAL GROUP AT HALE PAWA'A

Laboratory Demographics

  • CLIA Code: 12D0620086
  • Facility Name: HAWAII PACIFIC HEALTH MEDICAL GROUP AT HALE PAWA'A
  • Facility Address: 1401 S BERETANIA ST SUITE 850
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 373-7500
  • Facility Type: Other - CLINIC
  • Facility Type: Microscopy
  • Lab Director: DR. RHIANA LAU
  • NPI Number: 1427365329
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 12D0620086
LAB Type Other - CLINIC
Facility Name HAWAII PACIFIC HEALTH MEDICAL GROUP AT HALE PAWA'A
Street 1401 S BERETANIA ST SUITE 850
City HONOLULU
State HI
ZIP 96814
Phone 808 373-7500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - CLINIC
Lab Director DR. RHIANA LAU

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