KAISER PERMANENTE REGIONAL LABORATORY
NPI 1740295393
Clinical Medical Laboratory in Honolulu, HI

Active since July 30, 2006CLIA 12D2278658 · Waiver
3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-8800(808) 432-8867 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaiser Permanente Regional Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER PERMANENTE REGIONAL LABORATORY (NPI 1740295393) is a healthcare organization registered as a clinical medical laboratory in Honolulu, Hawaii and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists James G. Adams, Executive Director, Finance Leader, as its authorized official.

NPPES Registry Identity

NPI1740295393
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address711 Kapiolani Blvd, Billing DepartmentHonolulu, HI 96813-5214 · (808) 432-5312 · Fax (808) 432-5239
Fax(808) 432-8867
Organization SubpartNo
Authorized OfficialJames G. AdamsExecutive Director, Finance Leader · (808) 286-6758
Enumeration DateJuly 30, 2006
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1740295393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in HI · 12D0064446
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
3288 MOANALUA RD, Honolulu, HI 96819

Other Names 1

Doing Business AsKaiser Permanente Regional Laboratory

Other Identifiers 1

Medicaid549959-01HI

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaiser Permanente Regional Laboratory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

204

Medicare enrollment records show 204 clinicians reassign Medicare billing to Kaiser Permanente Regional Laboratory, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 125 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner60
Certified Registered Nurse Anesthetist (CRNA)50
Physical Therapist in Private Practice27
Clinical Psychologist21
Clinical Social Worker16
Qualified Audiologist9
Registered Dietitian or Nutrition Professional7
Occupational Therapist in Private Practice6
5 other specialties8

Nearest to this location (20)

See all 204
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912621467
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760791255
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528145943
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982183521
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOSSame address
Qualified Audiologist
NPI 1548399132
3288 MOANALUA RD # 2C
Honolulu, HI 96819
(808) 432-8293
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629216163
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962915090
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063837284
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649574625
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598063992
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1396827473
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922644988
3288 MOANALUA RD
Honolulu, HI 96819
(833) 833-3333
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1578632956
3288 MOANALUA ROAD
Honolulu, HI 96819
(808) 432-8291
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952900565
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811496623
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-8538
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245463835
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003027319
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194182758
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1588728075
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-0000
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1386797561
3288 MOANALUA RD
Honolulu, HI 96819
(808) 432-7785
✔ Accepts MedicareSame address
See all 204 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2278658

Kaiser Permanente Mhv Laboratory · Honolulu, HI
Active · expires Apr 11, 2028
CLIA Number12D2278658
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorDr. Marcus Iwane
Laboratory Phone(808) 432-2374
Laboratory LocationKaiser Permanente Mhv Laboratory3288 Moanalua Road Snf Building, Honolulu, HI 96819
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Inc is 1740295393. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Kaiser Permanente Regional Laboratory.

Where is Kaiser Foundation Health Plan Inc located?

Kaiser Foundation Health Plan Inc is located at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-8800.

What is Kaiser Foundation Health Plan Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Kaiser Foundation Health Plan Inc enrolled in Medicare?

Yes. Kaiser Foundation Health Plan Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaiser Foundation Health Plan Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 204 clinicians in 13 Medicare specialties reassign their Medicare billing to Kaiser Foundation Health Plan Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Certified Registered Nurse Anesthetist (CRNA) (50) and Physical Therapist in Private Practice (27). Of these, 51 practice at this address and 125 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kaiser Foundation Health Plan Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2278658) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Inc was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.