CLIA lab

CLIA 12D0619861: Puuwai O Makaha

Waianae, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 12D0619861 belongs to Puuwai O Makaha in Waianae, HI.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 4, 1994
Facility type
Skilled nursing or nursing 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
12D0619861
Lab name
Puuwai O Makaha
Address
84-390 Jade, Waianae, HI 96792
Phone
(808) 695-9508
Fax
(808) 695-0225

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Waianae, HI

Related

Questions

What is the CLIA number for Puuwai O Makaha in Waianae?

12D0619861, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Puuwai O Makaha hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D0619861 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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