12D1027787 CLIA NUMBER - PALOLO CHINESE HOME

Laboratory Demographics

  • CLIA Code: 12D1027787
  • Facility Name: PALOLO CHINESE HOME
  • Facility Address: 2459 10TH AVENUE
    HONOLULU, HI
    ZIP 96816
  • Facility Phone: 808 732-0488
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DARLENE H. NAKAYAMA
  • NPI Number: 1619157922
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D1027787
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALOLO CHINESE HOME
Street 2459 10TH AVENUE
City HONOLULU
State HI
ZIP 96816
Phone 808 732-0488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DARLENE H. NAKAYAMA

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