12D2193026 CLIA NUMBER - KEANUENUE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 12D2193026
  • Facility Name: KEANUENUE PEDIATRICS
  • Facility Address: 615 PIIKOI SREET, SUITE 1501
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 975-9595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASMINE WAIPA
  • NPI Number: 1720605504
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 12D2193026
LAB Type Physician Office
Facility Name KEANUENUE PEDIATRICS
Street 615 PIIKOI SREET, SUITE 1501
City HONOLULU
State HI
ZIP 96814
Phone 808 975-9595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director JASMINE WAIPA

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