12D1065662 CLIA NUMBER - KULANA MALAMA

Laboratory Demographics

  • CLIA Code: 12D1065662
  • Facility Name: KULANA MALAMA
  • Facility Address: 91-1360 KARAYAN ST
    EWA BEACH, HI
    ZIP 96706
  • Facility Phone: 808 681-1200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RONALD Y. MADARIAGA
  • NPI Number: 1922147867
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D1065662
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KULANA MALAMA
Street 91-1360 KARAYAN ST
City EWA BEACH
State HI
ZIP 96706
Phone 808 681-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RONALD Y. MADARIAGA

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