12D0923426 CLIA NUMBER - HONOKAA HOSPITAL AND SKILLED NURSING

Laboratory Demographics

  • CLIA Code: 12D0923426
  • Facility Name: HONOKAA HOSPITAL AND SKILLED NURSING
  • Facility Address: 45-547 PLUMERIA ST
    HONOKAA, HI
    ZIP 96727
  • Facility Phone: 808 932-4100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ANDRE THERIAULT
  • NPI Number: 1992398895
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 12D0923426
LAB Type Hospital
Facility Name HONOKAA HOSPITAL AND SKILLED NURSING
Street 45-547 PLUMERIA ST
City HONOKAA
State HI
ZIP 96727
Phone 808 932-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Hospital
Lab Director ANDRE THERIAULT

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