12D2110104 CLIA NUMBER - BAYADA HOME CARE

Laboratory Demographics

  • CLIA Code: 12D2110104
  • Facility Name: BAYADA HOME CARE
  • Facility Address: 615 PI'IKOI ST SUITE 600
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 591-6050
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CORY KATAOKA
  • NPI Number: 1306105176
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D2110104
LAB Type Home Health Agency
Facility Name BAYADA HOME CARE
Street 615 PI'IKOI ST SUITE 600
City HONOLULU
State HI
ZIP 96814
Phone 808 591-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Home Health Agency
Lab Director CORY KATAOKA

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