12D2060562 CLIA NUMBER - MAUI LANI PHYSICIANS AND SURGEONS LLC

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Laboratory Demographics

CLIA Number: 12D2060562

Facility Name: MAUI LANI PHYSICIANS AND SURGEONS LLC

Facility Address:
165 MA'A ST
KAHULUI, HI
ZIP 96732
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Facility Phone Number: 808 446-7120

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1427491851

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	12D2060562
LAB Type	Physician Office
Facility Name	MAUI LANI PHYSICIANS AND SURGEONS LLC
Street	165 MA'A ST
City	KAHULUI
State	HI
ZIP	96732
Phone	808 446-7120
CertificateType	3
CertificateEffectiveDate	6/12/2023
CertificateExpirationDate	6/11/2025
FacilityType	PPMP

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