12D2166250 CLIA NUMBER - LAULEA HEALTH CENTER

Laboratory Demographics

CLIA Number: 12D2166250

Facility Name: LAULEA HEALTH CENTER

Facility Address:
180 DICKENSON STREET SUITE 103
LAHAINA, HI
ZIP 96761
Get Directions

Facility Phone Number: 808 214-5985

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982105052

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	12D2166250
LAB Type	Physician Office
Facility Name	LAULEA HEALTH CENTER
Street	180 DICKENSON STREET SUITE 103
City	LAHAINA
State	HI
ZIP	96761
Phone	808 214-5985
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024