CLIA lab
CLIA 12D0619799: Usrc Wahiawa, LLC
Wahiawa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0619799 belongs to Usrc Wahiawa, LLC in Wahiawa, HI.
Certificate of Waiver, effective February 23, 2025, expires February 22, 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 Waiver
- Certificate effective
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- End stage renal disease dialysis facility
- 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
- 12D0619799
- Lab name
- Usrc Wahiawa, LLC
- Additional name
- DBA US Renal Care Wahiawa Dialysis
- Address
- 850 Kilani Avenue, Wahiawa, HI 96786
- Phone
- (808) 621-5151
- Fax
- (808) 621-3884
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.
Care facility at this address
- USRC Wahiawa Dialysis CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Wahiawa, HI
- Arnold Seid MDCertificate of Waiver, Physician office12D0898361
- Central HealthCertificate of Waiver, Other practitioner12D2241491
- Charlie Y Sonido MD LLCCertificate of Waiver, Physician office12D2248547
- Hawaiian Eye Center, IncCertificate of Waiver, Ambulatory surgery center12D0713210
- Hi Coalition for HealthCertificate of Waiver, Other12D0619795
- Minuteclinic Diagnostic of Hawaii LLC #9300Certificate of Waiver, Other12D2099594
- Queen's Medical Center Wahiawa-DlsCertificate of Accreditation, Other12D2300900
- Sorbella Guillermo MD, IncCertificate of Waiver, Physician office12D2180124
- Wahiawa Center for Community Health, theCertificate of Waiver, Federally qualified health center12D2133942
- Wahiawa Family Practice ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office12D0992012
Related
Questions
What is the CLIA number for Usrc Wahiawa, LLC in Wahiawa?
12D0619799, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usrc Wahiawa, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0619799 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.