12D0998176 CLIA NUMBER - KULA HOSPITAL-NURSING

Laboratory Demographics

  • CLIA Code: 12D0998176
  • Facility Name: KULA HOSPITAL-NURSING
  • Facility Address: 100 KEOKEA PLACE
    KULA, HI
    ZIP 96790
  • Facility Phone: 808 269-5558
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH JR SCOTT
  • NPI Number: 1437227287
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D0998176
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KULA HOSPITAL-NURSING
Street 100 KEOKEA PLACE
City KULA
State HI
ZIP 96790
Phone 808 269-5558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KENNETH JR SCOTT

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