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12D1065662 CLIA NUMBER - KULANA MALAMA

Laboratory Demographics

CLIA Number: 12D1065662

Facility Name: KULANA MALAMA

Facility Address:
91-1360 KARAYAN ST
EWA BEACH, HI
ZIP 96706
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Facility Phone Number: 808 681-1200

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1922147867

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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
CertificateType 4
CertificateEffectiveDate 3/6/2023
CertificateExpirationDate 3/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024