12D0646226 CLIA NUMBER - MOLOKAI GENERAL HOSPITAL-DLS

Laboratory Demographics

  • CLIA Code: 12D0646226
  • Facility Name: MOLOKAI GENERAL HOSPITAL-DLS
  • Facility Address: 280 HOME OLU PLACE
    KAUNAKAKAI, HI
    ZIP 96748
  • Facility Phone: 808 553-3142
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ANA ORTEGA-LOPEZ
  • NPI Number: 1235515396
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0646226
LAB Type Hospital
Facility Name MOLOKAI GENERAL HOSPITAL-DLS
Street 280 HOME OLU PLACE
City KAUNAKAKAI
State HI
ZIP 96748
Phone 808 553-3142
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. ANA ORTEGA-LOPEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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