Organization
KOA LABORATORY LLC
Active
Organization
KOA LABORATORY LLC
Active
Other names
Koa Labs
Organization subpart
No
Provider details
NPI number
Authorized official
JENNALYN BISHOP MLS, TT (CHIEF MEDICAL LABORATORY SCIENTIST)
(719) 505-5922
Entity
Organization
Contact information
Practice address
599 FARRINGTON HWY BLDG 2, KAPOLEI, HI 96707-2028
(808) 693-8807
(808) 674-4123
Mailing address
599 FARRINGTON HWY BLDG 2, KAPOLEI, HI 96707-2028
(808) 693-8807
(808) 674-4123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12D2229839
CLIA
HI
Enumeration date
10/14/2021
Last updated
10/14/2021
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