12D0923870 CLIA NUMBER - KAISER PERMANENTE MOANALUA MC PERFUSION LAB

Laboratory Demographics

  • CLIA Code: 12D0923870
  • Facility Name: KAISER PERMANENTE MOANALUA MC PERFUSION LAB
  • Facility Address: 3288 MOANALUA ROAD TOWER BLDG OR
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 432-8800
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. STACEY A. HONDA
  • NPI Number: 1740295393
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 12D0923870
LAB Type Health Main. Organization
Facility Name KAISER PERMANENTE MOANALUA MC PERFUSION LAB
Street 3288 MOANALUA ROAD TOWER BLDG OR
City HONOLULU
State HI
ZIP 96819
Phone 808 432-8800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Health Main. Organization
Lab Director DR. STACEY A. HONDA

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