12D2026532 CLIA NUMBER - KA'U WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 12D2026532
  • Facility Name: KA'U WELLNESS LLC
  • Facility Address: 92-8691 LOTUS BLOSSOM LANE 6-7
    OCEAN VIEW, HI
    ZIP 96737
  • Facility Phone: 808 939-8100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DOEDE D. DONAUGH
  • NPI Number: 1538611173
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2026532
LAB Type Physician Office
Facility Name KA'U WELLNESS LLC
Street 92-8691 LOTUS BLOSSOM LANE 6-7
City OCEAN VIEW
State HI
ZIP 96737
Phone 808 939-8100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director DR. DOEDE D. DONAUGH

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