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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