12D2142126 CLIA NUMBER - BAYADA HOME CARE

Laboratory Demographics

  • CLIA Code: 12D2142126
  • Facility Name: BAYADA HOME CARE
  • Facility Address: 1221 KILAUEA AVE SUITE 60
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 969-9622
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRIANA KAILI
  • NPI Number: 1053790634
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 12D2142126
LAB Type Home Health Agency
Facility Name BAYADA HOME CARE
Street 1221 KILAUEA AVE SUITE 60
City HILO
State HI
ZIP 96720
Phone 808 969-9622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Home Health Agency
Lab Director BRIANA KAILI

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