12D2197923 CLIA NUMBER - LANAI KINAOLE INC

Laboratory Demographics

  • CLIA Code: 12D2197923
  • Facility Name: LANAI KINAOLE INC
  • Facility Address: 617 ILIMA AVE
    LANAI CITY, HI
    ZIP 96763
  • Facility Phone: 808 565-8001
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VALERIE M. JANIKOWSKI
  • NPI Number: 1962060020
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D2197923
LAB Type Home Health Agency
Facility Name LANAI KINAOLE INC
Street 617 ILIMA AVE
City LANAI CITY
State HI
ZIP 96763
Phone 808 565-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Home Health Agency
Lab Director VALERIE M. JANIKOWSKI

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