12D2278658 CLIA NUMBER - KAISER PERMANENTE MHV LABORATORY

Laboratory Demographics

  • CLIA Code: 12D2278658
  • Facility Name: KAISER PERMANENTE MHV LABORATORY
  • Facility Address: 3288 MOANALUA ROAD SNF BUILDING
    HONOLULU, HI
    ZIP 96819
  • Facility Phone: 808 432-2374
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. MARCUS IWANE
  • NPI Number: 1881985059
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 12D2278658
LAB Type Mobile Laboratory
Facility Name KAISER PERMANENTE MHV LABORATORY
Street 3288 MOANALUA ROAD SNF BUILDING
City HONOLULU
State HI
ZIP 96819
Phone 808 432-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Mobile Laboratory
Lab Director DR. MARCUS IWANE

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