12D1008823 CLIA NUMBER - BCP INC DBA BAYADA HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 12D1008823
  • Facility Name: BCP INC DBA BAYADA HOME HEALTH CARE
  • Facility Address: 2200 MAIN ST SUITE 660
    WAILUKU, HI
    ZIP 96793
  • Facility Phone: 808 667-5440
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAUREN PETERSEN
  • NPI Number: 1942569702
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D1008823
LAB Type Home Health Agency
Facility Name BCP INC DBA BAYADA HOME HEALTH CARE
Street 2200 MAIN ST SUITE 660
City WAILUKU
State HI
ZIP 96793
Phone 808 667-5440
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 LAUREN PETERSEN

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