12D2065945 CLIA NUMBER - KAISER PERMANENTE MAPUNAPUNA MED OF ASC LAB

Laboratory Demographics

  • CLIA Code: 12D2065945
  • Facility Name: KAISER PERMANENTE MAPUNAPUNA MED OF ASC LAB
  • Facility Address: 2828 PA'A STREET
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 432-5738
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DEAN E. HU
  • NPI Number: 1093881641
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2065945
LAB Type Ambulatory Surgery Center
Facility Name KAISER PERMANENTE MAPUNAPUNA MED OF ASC LAB
Street 2828 PA'A STREET
City HONOLULU
State HI
ZIP 96819
Phone 808 432-5738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulatory Surgery Center
Lab Director DEAN E. HU

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