12D2253716 CLIA NUMBER - CASTLE PHYSICIAN NETWORK DBA ADVENTIST HEALTH CASTLE URGENT CARE PEARL CITY

Laboratory Demographics

  • CLIA Code: 12D2253716
  • Facility Name: CASTLE PHYSICIAN NETWORK DBA ADVENTIST HEALTH CASTLE URGENT CARE PEARL CITY
  • Facility Address: 1245 KAULA ST, SUITE 103
    PEARL CITY, HI
    ZIP 96782
  • Facility Phone: 808 263-5148
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: AYSHA CHEEKUTHANAKATH
  • NPI Number: 1043917693
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2253716
LAB Type Other - CLINIC
Facility Name CASTLE PHYSICIAN NETWORK DBA ADVENTIST HEALTH CASTLE URGENT CARE PEARL CITY
Street 1245 KAULA ST, SUITE 103
City PEARL CITY
State HI
ZIP 96782
Phone 808 263-5148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Other - CLINIC
Lab Director AYSHA CHEEKUTHANAKATH

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