12D2089880 CLIA NUMBER - TRANSFORMATION HEALTH NETWORK DBA ALOHA KONA URGENT CARE

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Laboratory Demographics

CLIA Number: 12D2089880

Facility Name: TRANSFORMATION HEALTH NETWORK DBA ALOHA KONA URGENT CARE

Facility Address:
75-5995 KUAKINI HWY, SUITE 513A
KAILUA KONA, HI
ZIP 96740
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Facility Phone Number: 808 365-2297

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1700521499

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	12D2089880
LAB Type	Other - URGENT CARE
Facility Name	TRANSFORMATION HEALTH NETWORK DBA ALOHA KONA URGENT CARE
Street	75-5995 KUAKINI HWY, SUITE 513A
City	KAILUA KONA
State	HI
ZIP	96740
Phone	808 365-2297
CertificateType	4
CertificateEffectiveDate	1/9/2023
CertificateExpirationDate	1/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024