12D1102245 CLIA NUMBER - KAISER PERMANENTE HILO CLINIC LABORATORY

Laboratory Demographics

  • CLIA Code: 12D1102245
  • Facility Name: KAISER PERMANENTE HILO CLINIC LABORATORY
  • Facility Address: 1292 WAIANUENUE AVE
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 934-4060
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. STACEY A. HONDA
  • NPI Number: 1730643933
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D1102245
LAB Type Independent
Facility Name KAISER PERMANENTE HILO CLINIC LABORATORY
Street 1292 WAIANUENUE AVE
City HILO
State HI
ZIP 96720
Phone 808 934-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Independent
Lab Director DR. STACEY A. HONDA

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