12D2167407 CLIA NUMBER - EXCLUSIVE HAWAII REHAB

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CLIA Record

Field Name Field Value
CLIA Number 12D2167407
LAB Type Other - REHAB CENTER
Facility Name EXCLUSIVE HAWAII REHAB
Street 31-631 OLD MAMALAHOA HWY
City HAKALAU
State HI
ZIP 96710
Phone 808 775-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - REHAB CENTER
Lab Director BRYCE HEALY

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