12D0619258 CLIA NUMBER - SANTAD SIRA MD FACOG INC

Laboratory Demographics

  • CLIA Code: 12D0619258
  • Facility Name: SANTAD SIRA MD FACOG INC
  • Facility Address: 79-7266 HONALO BUSINESS CENTER #4 MAMALAHUA HWY/PO BOX 50
    KEALAKEKUA, HI
    ZIP 96750
  • Facility Phone: 808 322-3434
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SANTAD SIRA
  • NPI Number: 1912073891
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 12D0619258
LAB Type Physician Office
Facility Name SANTAD SIRA MD FACOG INC
Street 79-7266 HONALO BUSINESS CENTER #4 MAMALAHUA HWY/PO BOX 50
City KEALAKEKUA
State HI
ZIP 96750
Phone 808 322-3434
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SANTAD SIRA

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