12D1058604 CLIA NUMBER - KAISER PERMANENTE MAPUNAPUNA MED OFC LAB

Laboratory Demographics

  • CLIA Code: 12D1058604
  • Facility Name: KAISER PERMANENTE MAPUNAPUNA MED OFC LAB
  • Facility Address: 2828 PAA ST
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 432-1202
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. STACEY A. HONDA
  • NPI Number: 1053466938
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 12D1058604
LAB Type Independent
Facility Name KAISER PERMANENTE MAPUNAPUNA MED OFC LAB
Street 2828 PAA ST
City HONOLULU
State HI
ZIP 96819
Phone 808 432-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Independent
Lab Director DR. STACEY A. HONDA

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