12D2260828 CLIA NUMBER - HAWAII HEART ASSOCIATES

Laboratory Demographics

CLIA Number: 12D2260828

Facility Name: HAWAII HEART ASSOCIATES

Facility Address:
46-001 KAMEHAMEHA HWY, UNIT 212
KANEOHE, HI
ZIP 96744
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Facility Phone Number: 828 636-6393

Facility Type: Other - CLINIC

Certificate Type: Waiver

NPI Number: 1750901195

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	12D2260828
LAB Type	Other - CLINIC
Facility Name	HAWAII HEART ASSOCIATES
Street	46-001 KAMEHAMEHA HWY, UNIT 212
City	KANEOHE
State	HI
ZIP	96744
Phone	828 636-6393
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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