12D2249554 CLIA NUMBER - IAOMAI 2, LLC DBA LIFEWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 12D2249554
  • Facility Name: IAOMAI 2, LLC DBA LIFEWAY PHARMACY
  • Facility Address: 4-484 KUHIO HWY, STE 106
    KAPAA, HI
    ZIP 96746
  • Facility Phone: 808 245-2471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIANNE H. MALAPIT
  • NPI Number: 1326070442
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 12D2249554
LAB Type Pharmacy
Facility Name IAOMAI 2, LLC DBA LIFEWAY PHARMACY
Street 4-484 KUHIO HWY, STE 106
City KAPAA
State HI
ZIP 96746
Phone 808 245-2471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Pharmacy
Lab Director LIANNE H. MALAPIT

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