12D2047760 CLIA NUMBER - RAINBOW DIALYSIS WAILUKU

Laboratory Demographics

  • CLIA Code: 12D2047760
  • Facility Name: RAINBOW DIALYSIS WAILUKU
  • Facility Address: 80 MAHALANI ST, SUITE 100
    WAILUKU, HI
    ZIP 96793
  • Facility Phone: 808 298-0555
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARY M. KINGMA-NOLAND
  • NPI Number: 1073888194
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2047760
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RAINBOW DIALYSIS WAILUKU
Street 80 MAHALANI ST, SUITE 100
City WAILUKU
State HI
ZIP 96793
Phone 808 298-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARY M. KINGMA-NOLAND

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