12D2110300 CLIA NUMBER - KUAKINI GERIATRIC CARE INC

Laboratory Demographics

  • CLIA Code: 12D2110300
  • Facility Name: KUAKINI GERIATRIC CARE INC
  • Facility Address: 347 NORTH KUAKINI ST
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 547-9360
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. MARIA ROSS
  • NPI Number: 1154325405
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 12D2110300
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KUAKINI GERIATRIC CARE INC
Street 347 NORTH KUAKINI ST
City HONOLULU
State HI
ZIP 96817
Phone 808 547-9360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. MARIA ROSS

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