12D2292464 CLIA NUMBER - INTEGRATIVE THERAPEUTICS, LLC

Laboratory Demographics

  • CLIA Code: 12D2292464
  • Facility Name: INTEGRATIVE THERAPEUTICS, LLC
  • Facility Address: 98-1247 KAAHUMANU ST SUITE 221
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 867-6477
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KUULEIKUPONOOKEALOHA NAAHIELUA
  • NPI Number: 1023797388
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 12D2292464
LAB Type Practitioner Other
Facility Name INTEGRATIVE THERAPEUTICS, LLC
Street 98-1247 KAAHUMANU ST SUITE 221
City AIEA
State HI
ZIP 96701
Phone 808 867-6477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Practitioner Other
Lab Director KUULEIKUPONOOKEALOHA NAAHIELUA

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