CLIA lab
CLIA 12D2198504: Kona Center of Facial Surgery
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2198504 belongs to Kona Center of Facial Surgery in Kamuela, HI.
Certificate of Waiver, effective November 2, 2024, expires November 1, 2026.
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 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 2020
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- 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
- 12D2198504
- Lab name
- Kona Center of Facial Surgery
- Address
- 65-1230 Mamalahoa Hwy, Ste C-10, Kamuela, HI 96743
- Phone
- (808) 885-9000
- Fax
- (808) 885-6228
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kamuela, HI
- Diagnostic Laboratory Services-Queens Nhi HospCertificate of Accreditation, Independent12D2077899
- Diagnostic Laboratory Svcs-Qmc North Hi Path LabCertificate of Accreditation, Hospital12D2096714
- Five Mountains Hawaii Inc DBA Kipuka O Ke OlaCertificate of Waiver, Rural health clinic12D2125620
- Kaiser Permanente Waimea Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Physician office12D0911714
- Kamuela Medical Associates IncCertificate of Waiver, Physician office12D0692936
- Kohala Coast Urgent CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2265189
- Kta Kamuela PharmacyCertificate of Waiver, Pharmacy12D2237338
- Liberty Dialysis North Hawaii LLCCertificate of Waiver, End stage renal disease dialysis facility12D1086382
- Mango MedicalCertificate of Waiver, Other12D2302206
- Paniolo Pediatric and Family Medicine, IncCertificate of Waiver, Physician office12D2097582
Related
Questions
What is the CLIA number for Kona Center of Facial Surgery in Kamuela?
12D2198504, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kona Center of Facial Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2198504 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.