Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
12D1101501
|
|
Clinical laboratory number
|
|
Lab Name
|
MALAMA PONO HEALTH SERVICES
|
|
Laboratory Name
|
|
Lab Type
|
Other
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
808-246-9577
|
|
Laboratory telephone number
|
|
Fax
|
808-246-9588
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4370 KUKUI GROVE ST SUITE 3-115
|
|
Primary location adress line
|
|
City
|
LIHUE
|
|
Primary location city name
|
|
State
|
HI
|
|
Primary location state name
|
|
Zip
|
96766
|
|
Primary location postal code
|