12D2274305 CLIA NUMBER - MAKENA HEALTH

Laboratory Demographics

  • CLIA Code: 12D2274305
  • Facility Name: MAKENA HEALTH
  • Facility Address: 161WAILEA IKE PL, B105
    KIHEI, HI
    ZIP 96753
  • Facility Phone: 808 217-8447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSHUA C. STARBUCK
  • NPI Number: 1306434220
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2274305
LAB Type Physician Office
Facility Name MAKENA HEALTH
Street 161WAILEA IKE PL, B105
City KIHEI
State HI
ZIP 96753
Phone 808 217-8447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director DR. JOSHUA C. STARBUCK

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