CLIA lab
CLIA 12D2311593: Kta Ponahawai Pharmacy
Hilo, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2311593 belongs to Kta Ponahawai Pharmacy in Hilo, HI.
Certificate of Waiver, effective September 24, 2026, expires September 23, 2028.
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
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2024
- Facility type
- Pharmacy
- 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
- 12D2311593
- Lab name
- Kta Ponahawai Pharmacy
- Address
- 670 Ponahawai St Unit #211, Hilo, HI 96720
- Phone
- (808) 865-0505
- Fax
- (866) 859-1618
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aaron H Morita MD Facp IncCertificate for Provider-Performed Microscopy Procedures, Physician office12D0688878
- Aloha Nui DPC, LLCCertificate of Waiver, Physician office12D1070138
- American Medical Response Island of HawaiiCertificate of Waiver, Ambulance12D2266521
- BCP Inc DBA Bayada Home Health Care IncCertificate of Waiver, Home health agency12D1078525
- Barnes-Hunt IncCertificate of Waiver, Physician office12D1023675
- Bayada Home CareCertificate of Waiver, Home health agency12D2142126
- Big Island DermatologyCertificate of Compliance, Physician office12D1029385
- Big Island HealthcareCertificate of Waiver, Community clinic12D2281486
- Brenda M K Camacho, MDCertificate of Waiver, Physician office12D0618916
- Care Cottage HiloCertificate of Waiver, Other12D1079402
Related
Questions
What is the CLIA number for Kta Ponahawai Pharmacy in Hilo?
12D2311593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kta Ponahawai Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2311593 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.