12D2177713 CLIA NUMBER - SARAH CANYON MD

Laboratory Demographics

  • CLIA Code: 12D2177713
  • Facility Name: SARAH CANYON MD
  • Facility Address: 328 ULUNIU ST #103
    KAILUA, HI
    ZIP 96734
  • Facility Phone: 808 263-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH J. CANYON
  • NPI Number: 1588082259
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2177713
LAB Type Physician Office
Facility Name SARAH CANYON MD
Street 328 ULUNIU ST #103
City KAILUA
State HI
ZIP 96734
Phone 808 263-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director SARAH J. CANYON

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