12D0962391 CLIA NUMBER - HALE MALAMALAMA NSG HOME

Laboratory Demographics

  • CLIA Code: 12D0962391
  • Facility Name: HALE MALAMALAMA NSG HOME
  • Facility Address: 6163 SUMMER ST
    HONOLULU, HI
    ZIP 96821
  • Facility Phone: 808 396-0537
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOVELYN LOCQUIAO
  • NPI Number: 1366598476
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D0962391
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HALE MALAMALAMA NSG HOME
Street 6163 SUMMER ST
City HONOLULU
State HI
ZIP 96821
Phone 808 396-0537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOVELYN LOCQUIAO

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