12D2117301 CLIA NUMBER - KAHALA CLINIC FOR CHILDREN AND FAMILY

Laboratory Demographics

  • CLIA Code: 12D2117301
  • Facility Name: KAHALA CLINIC FOR CHILDREN AND FAMILY
  • Facility Address: 4211 WAIALAE AVE STE 208
    HONOLULU, HI
    ZIP 96816
  • Facility Phone: 808 888-5228
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. JASON R. KEIFER
  • NPI Number: 1932564861
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 12D2117301
LAB Type Other - CLINIC
Facility Name KAHALA CLINIC FOR CHILDREN AND FAMILY
Street 4211 WAIALAE AVE STE 208
City HONOLULU
State HI
ZIP 96816
Phone 808 888-5228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Other - CLINIC
Lab Director DR. JASON R. KEIFER

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