12D2240957 CLIA NUMBER - MALAMA COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 12D2240957
  • Facility Name: MALAMA COMPOUNDING PHARMACY
  • Facility Address: 74-5563 KAIWI STREET, SUITE 129
    KAILUA KONA, HI
    ZIP 96740
  • Facility Phone: 808 324-6888
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: PATRICK L. ADAMS
  • NPI Number: 1447323100
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 12D2240957
LAB Type Other - PHARMACY
Facility Name MALAMA COMPOUNDING PHARMACY
Street 74-5563 KAIWI STREET, SUITE 129
City KAILUA KONA
State HI
ZIP 96740
Phone 808 324-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Other - PHARMACY
Lab Director PATRICK L. ADAMS

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