12D2196892 CLIA NUMBER - MALAMA OLA HEATLH SERVICES LLC

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Laboratory Demographics

CLIA Number: 12D2196892

Facility Name: MALAMA OLA HEATLH SERVICES LLC

Facility Address:
1783 PIIKEA STREET
HONOLULU, HI
ZIP 96818
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Facility Phone Number: 808 543-1188

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1588171284

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	12D2196892
LAB Type	Hospice
Facility Name	MALAMA OLA HEATLH SERVICES LLC
Street	1783 PIIKEA STREET
City	HONOLULU
State	HI
ZIP	96818
Phone	808 543-1188
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

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