12D0678725 CLIA NUMBER - HALE MAKUA KAHULUI

Laboratory Demographics

  • CLIA Code: 12D0678725
  • Facility Name: HALE MAKUA KAHULUI
  • Facility Address: 472 KAULANA STREET
    KAHULUI, HI
    ZIP 96732
  • Facility Phone: 808 873-6600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MATHEW ROBELLO
  • NPI Number: 1790902120
  • Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0678725
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HALE MAKUA KAHULUI
Street 472 KAULANA STREET
City KAHULUI
State HI
ZIP 96732
Phone 808 873-6600
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 Skilled Nursing Facility/Nursing Facility
Lab Director MATHEW ROBELLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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