CLIA lab
CLIA 12D2229839: Koa Laboratory LLC DBA Koa Labs
Kapolei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2229839 belongs to Koa Laboratory LLC DBA Koa Labs in Kapolei, HI.
Certificate of Accreditation, effective April 11, 2025, expires April 10, 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 Accreditation
- Certificate effective
- April 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2021
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 12
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2229839
- Lab name
- Koa Laboratory LLC DBA Koa Labs
- Address
- 599 Farrington Highway, Building 2, Kapolei, HI 96707
- Phone
- (808) 693-8807
- Fax
- (808) 674-4123
Annual test volume the lab reported
- Tests under accreditation
- 500,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kapolei, HI
- Ahcs-Pali Women's Health CenterCertificate of Waiver, Physician office12D2290075
- Blood Bank of HawaiiCertificate of Accreditation, Blood bank12D0621292
- Castle Physician NetworkCertificate of Waiver, Other12D2253712
- Complete Dermatology LLC KapoleiCertificate for Provider-Performed Microscopy Procedures, Physician office12D2081587
- Daniel K Akaka State Veterans HomeCertificate of Waiver, Skilled nursing or nursing facility12D2316115
- Daniel K Akaka VA Multi Specialty ClinicCertificate of Accreditation, Community clinic12D2301531
- Family Doctor LLC, theCertificate of Waiver, Physician office12D2026896
- Ka Puna Wai OlaCertificate of Waiver, Skilled nursing or nursing facility12D0970226
- Kaiser Permanente West Oahu Med Ofc PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D2204356
- Kaiser Permanente West Oahu Medical Ofc LabCertificate of Compliance, Independent12D2204353
Related
Questions
What is the CLIA number for Koa Laboratory LLC DBA Koa Labs in Kapolei?
12D2229839, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Koa Laboratory LLC DBA Koa Labs hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 12D2229839 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.