CLIA lab
CLIA 12D0619602: Clinical Labs of Hawaii-Lanai Community Hospital
Lanai City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0619602 belongs to Clinical Labs of Hawaii-Lanai Community Hospital in Lanai City, HI.
Certificate of Compliance, effective January 6, 2025, expires January 5, 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 Compliance
- Certificate effective
- January 6, 2025
- Certificate expiration
- January 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- 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
- 12D0619602
- Lab name
- Clinical Labs of Hawaii-Lanai Community Hospital
- Address
- 628 7th St, Lanai City, HI 96763
- Phone
- (808) 565-8462
- Fax
- (808) 565-6490
Annual test volume the lab reported
- Waived tests
- 5,066
- Provider-performed microscopy tests
- 250
- Other nonwaived tests
- 4,082
- Total
- 9,398
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lanai Community HospitalCMS Care Compare ratings for the facility at the same street address
Other labs in Lanai City, HI
- Lanai Community Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility12D2170764
- Lanai Community Health CenterCertificate of Waiver, Federally qualified health center12D1078523
- Lanai Community HospitalCertificate of Waiver, Skilled nursing or nursing facility12D2191304
- Lanai Kinaole IncCertificate of Waiver, Home health agency12D2197923
- Pol Straub Lanai Family Health CenterCertificate of Waiver, Community clinic12D0620105
Related
Questions
What is the CLIA number for Clinical Labs of Hawaii-Lanai Community Hospital in Lanai City?
12D0619602, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinical Labs of Hawaii-Lanai Community Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D0619602 expire?
The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.