12D2127919 CLIA NUMBER - HOSANNA LLC DBA HAWAII FAMILY PHYSICIANS - WALUA

Laboratory Demographics

  • CLIA Code: 12D2127919
  • Facility Name: HOSANNA LLC DBA HAWAII FAMILY PHYSICIANS - WALUA
  • Facility Address: 75-5870 WALUA RD
    KAILUA KONA, HI
    ZIP 96740
  • Facility Phone: 808 323-3107
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. ARTHURS
  • NPI Number: 1376661520
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 12D2127919
LAB Type Physician Office
Facility Name HOSANNA LLC DBA HAWAII FAMILY PHYSICIANS - WALUA
Street 75-5870 WALUA RD
City KAILUA KONA
State HI
ZIP 96740
Phone 808 323-3107
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DAVID A. ARTHURS

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This page was last updated on: 6/4/2025