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12D0918443 CLIA NUMBER - KAISER PERMANENTE MOANALUA MED CTR POC LAB

Laboratory Demographics

CLIA Number: 12D0918443

Facility Name: KAISER PERMANENTE MOANALUA MED CTR POC LAB

Facility Address:
3288 MOANALUA ROAD RM 140
HONOLULU, HI
ZIP 96819
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Facility Phone Number: 808 834-9275

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation
NPI Number: 1053466938

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 12D0918443
LAB Type Ancillary Testing Site in Health Care Center
Facility Name KAISER PERMANENTE MOANALUA MED CTR POC LAB
Street 3288 MOANALUA ROAD RM 140
City HONOLULU
State HI
ZIP 96819
Phone 808 834-9275
CertificateType 1
CertificateEffectiveDate 12/1/2022
CertificateExpirationDate 11/30/2024
FacilityType Accreditation

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