12D2266521 CLIA NUMBER - AMERICAN MEDICAL RESPONSE ISLAND OF HAWAII

Laboratory Demographics

  • CLIA Code: 12D2266521
  • Facility Name: AMERICAN MEDICAL RESPONSE ISLAND OF HAWAII
  • Facility Address: 159 KALANIKOA STREET UNIT C101
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 487-4900
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. DALE T. ODA
  • NPI Number: 1013967769
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 12D2266521
LAB Type Ambulance
Facility Name AMERICAN MEDICAL RESPONSE ISLAND OF HAWAII
Street 159 KALANIKOA STREET UNIT C101
City HILO
State HI
ZIP 96720
Phone 808 487-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Ambulance
Lab Director DR. DALE T. ODA

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