12D0712630 CLIA NUMBER - HANA COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 12D0712630

Facility Name: HANA COMMUNITY HEALTH CENTER

Facility Address:
4590 HANA HWY
HANA, HI
ZIP 96713
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Facility Phone Number: 808 248-8294

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1992811954

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	12D0712630
LAB Type	Federally Qualified Health Center
Facility Name	HANA COMMUNITY HEALTH CENTER
Street	4590 HANA HWY
City	HANA
State	HI
ZIP	96713
Phone	808 248-8294
CertificateType	4
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	Waiver

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