12D0871650 CLIA NUMBER - MAUI MEDICAL GROUP - WAILUKU

Laboratory Demographics

CLIA Number: 12D0871650

Facility Name: MAUI MEDICAL GROUP - WAILUKU

Facility Address:
2180 MAIN ST
WAILUKU, HI
ZIP 96793
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Facility Phone Number: 808 242-4215

Facility Type: Other - MULTI SPECIALTY OUTPATIEN

Certificate Type: Microscopy

NPI Number: 1215963970

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	12D0871650
LAB Type	Other - MULTI SPECIALTY OUTPATIEN
Facility Name	MAUI MEDICAL GROUP - WAILUKU
Street	2180 MAIN ST
City	WAILUKU
State	HI
ZIP	96793
Phone	808 242-4215
CertificateType	3
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	PPMP

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