12D0619308 CLIA NUMBER - KAISER PERMANENTE KONA MEDICAL OFFICE LAB

Laboratory Demographics

  • CLIA Code: 12D0619308
  • Facility Name: KAISER PERMANENTE KONA MEDICAL OFFICE LAB
  • Facility Address: 74-517 HONOKAHAU ST
    KAILUA KONA, HI
    ZIP 96740
  • Facility Phone: 808 334-4489
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. STACEY A. HONDA
  • NPI Number: 1689138885
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0619308
LAB Type Independent
Facility Name KAISER PERMANENTE KONA MEDICAL OFFICE LAB
Street 74-517 HONOKAHAU ST
City KAILUA KONA
State HI
ZIP 96740
Phone 808 334-4489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Independent
Lab Director DR. STACEY A. HONDA

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