12D2269567 CLIA NUMBER - PUEO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 12D2269567
  • Facility Name: PUEO FAMILY MEDICINE
  • Facility Address: 1120A MAKAWAO AVE
    MAKAWAO, HI
    ZIP 96768
  • Facility Phone: 808 573-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. ALM
  • NPI Number: 1083154751
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2269567
LAB Type Physician Office
Facility Name PUEO FAMILY MEDICINE
Street 1120A MAKAWAO AVE
City MAKAWAO
State HI
ZIP 96768
Phone 808 573-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director JOHN R. ALM

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