12D0910165 CLIA NUMBER - OAHU CARE FACILITY

Laboratory Demographics

  • CLIA Code: 12D0910165
  • Facility Name: OAHU CARE FACILITY
  • Facility Address: 1808 S BERETANIA ST
    HONOLULU, HI
    ZIP 96826
  • Facility Phone: 808 687-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: OLIVIA KIM
  • NPI Number: 1043214380
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D0910165
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAHU CARE FACILITY
Street 1808 S BERETANIA ST
City HONOLULU
State HI
ZIP 96826
Phone 808 687-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director OLIVIA KIM

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