12D0892791 CLIA NUMBER - ST FRANCIS HOSPICE

Laboratory Demographics

  • CLIA Code: 12D0892791
  • Facility Name: ST FRANCIS HOSPICE
  • Facility Address: 24 PUIWA ROAD
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 595-7580
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. BARON WONG
  • NPI Number: 1699780411
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 12D0892791
LAB Type Hospice
Facility Name ST FRANCIS HOSPICE
Street 24 PUIWA ROAD
City HONOLULU
State HI
ZIP 96817
Phone 808 595-7580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Hospice
Lab Director DR. BARON WONG

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