12D1008822 CLIA NUMBER - BAYADA HOME CARE KAUAI

Laboratory Demographics

  • CLIA Code: 12D1008822
  • Facility Name: BAYADA HOME CARE KAUAI
  • Facility Address: 3083 AKAHI ST SUITE 101
    LIHUE, HI
    ZIP 96766
  • Facility Phone: 808 245-5841
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DONNA GANGE
  • NPI Number: 1225397334
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D1008822
LAB Type Home Health Agency
Facility Name BAYADA HOME CARE KAUAI
Street 3083 AKAHI ST SUITE 101
City LIHUE
State HI
ZIP 96766
Phone 808 245-5841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Home Health Agency
Lab Director DONNA GANGE

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