12D0688422 CLIA NUMBER - MOLOKAI FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 12D0688422

Facility Name: MOLOKAI FAMILY HEALTH CENTER

Facility Address:
ALA MALAMA ST PO BOX 1100
KAUNAKAKAI, HI
ZIP 96748
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Facility Phone Number: 808 553-5353

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609124221

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	12D0688422
LAB Type	Physician Office
Facility Name	MOLOKAI FAMILY HEALTH CENTER
Street	ALA MALAMA ST PO BOX 1100
City	KAUNAKAKAI
State	HI
ZIP	96748
Phone	808 553-5353
CertificateType	4
CertificateEffectiveDate	9/13/2022
CertificateExpirationDate	9/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024