12D0621365 CLIA NUMBER - QUEEN'S HEALTH CARE CENTERS-HAWAII KAI

Laboratory Demographics

  • CLIA Code: 12D0621365
  • Facility Name: QUEEN'S HEALTH CARE CENTERS-HAWAII KAI
  • Facility Address: 377 KEAHOLE STREET E-108
    HONOLULU, HI
    ZIP 96825
  • Facility Phone: 808 691-8200
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MARIO SILVA
  • NPI Number: 1164626479
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0621365
LAB Type Community Clinic
Facility Name QUEEN'S HEALTH CARE CENTERS-HAWAII KAI
Street 377 KEAHOLE STREET E-108
City HONOLULU
State HI
ZIP 96825
Phone 808 691-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Community Clinic
Lab Director DR. MARIO SILVA

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