12D2070546 CLIA NUMBER - BAYADA HOME CARE

Laboratory Demographics

  • CLIA Code: 12D2070546
  • Facility Name: BAYADA HOME CARE
  • Facility Address: 2200 MAIN ST SUITE 650
    WAILUKU, HI
    ZIP 96793
  • Facility Phone: 808 244-4700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELISSA GOUEYTES
  • NPI Number: 1508206988
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D2070546
LAB Type Home Health Agency
Facility Name BAYADA HOME CARE
Street 2200 MAIN ST SUITE 650
City WAILUKU
State HI
ZIP 96793
Phone 808 244-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Home Health Agency
Lab Director MELISSA GOUEYTES

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