12D1021610 CLIA NUMBER - HO'OLA LAHUI HAWAII KAUAI COMMUNITY HEALTH CTR

Laboratory Demographics

  • CLIA Code: 12D1021610
  • Facility Name: HO'OLA LAHUI HAWAII KAUAI COMMUNITY HEALTH CTR
  • Facility Address: 4800D KAWAIHAU ROAD
    KAPAA, HI
    ZIP 96746
  • Facility Phone: 808 240-0170
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DAMIEN K. CHONG-HANSSEN
  • NPI Number: 1245269976
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D1021610
LAB Type Community Clinic
Facility Name HO'OLA LAHUI HAWAII KAUAI COMMUNITY HEALTH CTR
Street 4800D KAWAIHAU ROAD
City KAPAA
State HI
ZIP 96746
Phone 808 240-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Community Clinic
Lab Director DR. DAMIEN K. CHONG-HANSSEN

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