CLIA lab
CLIA 12D0903257: Kona Community Hospital
Kealakekua, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0903257 belongs to Kona Community Hospital in Kealakekua, HI.
Certificate of Waiver, effective November 15, 2025, expires November 14, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 1995
- Facility type
- Hospital
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0903257
- Lab name
- Kona Community Hospital
- Address
- 79-1019 Haukapila St, C/o Quality Director, Tawnie Mcdonald, Kealakekua, HI 96750
- Phone
- (808) 322-9311
- Fax
- (808) 322-4488
Annual test volume the lab reported
- Waived tests
- 25,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Kona Community HospitalCMS Care Compare ratings for the facility at the same street address
Other labs in Kealakekua, HI
- Clinical Labs of Hawaii-KealakekuaCertificate of Compliance, Independent12D2306255
- Diagnostic Laboratory Services-Kona Comm HospCertificate of Accreditation, Independent12D2305340
- Diagnostic Laboratory Svcs-Kona Comm Hosp Path LabCertificate of Accreditation, Independent12D2305344
- Santad Sira MD Facog IncCertificate for Provider-Performed Microscopy Procedures, Physician office12D0619258
Related
Questions
What is the CLIA number for Kona Community Hospital in Kealakekua?
12D0903257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kona Community Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0903257 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.