12D2324947 CLIA NUMBER - KIMURA HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 12D2324947
  • Facility Name: KIMURA HOME HEALTH, LLC
  • Facility Address: 1001 DILLINGHAM BLVD STE 317
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 207-8558
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANDRE THERIAULT
  • NPI Number: 1629886320
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 12D2324947
LAB Type Home Health Agency
Facility Name KIMURA HOME HEALTH, LLC
Street 1001 DILLINGHAM BLVD STE 317
City HONOLULU
State HI
ZIP 96817
Phone 808 207-8558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Home Health Agency
Lab Director ANDRE THERIAULT

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