CLIA lab
CLIA 12D0619308: Kaiser Permanente Kona Medical Office Lab
Kailua Kona, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0619308 belongs to Kaiser Permanente Kona Medical Office Lab in Kailua Kona, HI.
Certificate of Waiver, effective April 9, 2025, expires April 8, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 9, 2025
- Certificate expiration
- April 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Independent
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0619308
- Lab name
- Kaiser Permanente Kona Medical Office Lab
- Address
- 74-517 Honokahau St, Kailua Kona, HI 96740
- Phone
- (808) 334-4489
- Fax
- (808) 334-4446
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kailua Kona, HI
- Ali'i Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center12D1105388
- Ali'i Health Center-ObgynCertificate of Waiver, Physician office12D1080403
- Ali'i Health Center-Primary CareCertificate of Waiver, Community clinic12D1078089
- Alii Health Center-PediatricsCertificate of Waiver, Community clinic12D0681330
- Allied Health Partners LLCCertificate of Waiver, Physician office12D2183374
- Beautiful You and AestheticsCertificate of Waiver, Physician office12D1037046
- DR David K Hiranaka MD DMDCertificate of Waiver, Physician office12D2181364
- Hawaii Dermatology & SurgeryCertificate of Registration, Physician office12D2335476
- Hawaii Health and Weight LossCertificate for Provider-Performed Microscopy Procedures, Physician office12D2145287
- Hawaii Island Community Health CenterCertificate of Waiver, Federally qualified health center12D0975941
Related
Questions
What is the CLIA number for Kaiser Permanente Kona Medical Office Lab in Kailua Kona?
12D0619308, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Kona Medical Office Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0619308 expire?
The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.