12D0684203 CLIA NUMBER - KAUAI CARE CENTER

Laboratory Demographics

  • CLIA Code: 12D0684203
  • Facility Name: KAUAI CARE CENTER
  • Facility Address: 9611 WAENA RD
    WAIMEA, HI
    ZIP 96796
  • Facility Phone: (808) 338-1681
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRANDI HORI-MOISES
  • NPI Number: 1689618308
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D0684203
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KAUAI CARE CENTER
Street 9611 WAENA RD
City WAIMEA
State HI
ZIP 96796
Phone 8083381681
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 BRANDI HORI-MOISES

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This page was last updated on: 5/18/2026