12D0915302 CLIA NUMBER - WEST HAWAII MEDICAL GROUP HUALALAI URGENT CARE

Laboratory Demographics

  • CLIA Code: 12D0915302
  • Facility Name: WEST HAWAII MEDICAL GROUP HUALALAI URGENT CARE
  • Facility Address: 77-311 SUNSET DR
    KAILUA KONA, HI
    ZIP 96740
  • Facility Phone: (808) 329-6355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOI M. CHANG STROMAN
  • NPI Number: 1770610875
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 12D0915302
LAB Type Physician Office
Facility Name WEST HAWAII MEDICAL GROUP HUALALAI URGENT CARE
Street 77-311 SUNSET DR
City KAILUA KONA
State HI
ZIP 96740
Phone 8083296355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2026
Certificate Expiration Date 5/22/2028
Facility Type Physician Office
Lab Director LOI M. CHANG STROMAN

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This page was last updated on: 5/18/2026