CLIA lab
CLIA 12D0620105: Pol Straub Lanai Family Health Center
Lanai City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0620105 belongs to Pol Straub Lanai Family Health Center in Lanai City, HI.
Certificate of Waiver, effective August 12, 2026, expires August 11, 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
- August 12, 2026
- Certificate expiration
- August 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0620105
- Lab name
- Pol Straub Lanai Family Health Center
- Address
- 628 B Seventh St, Lanai City, HI 96763
- Phone
- (808) 565-6423
- Fax
- (808) 565-7480
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lanai City, HI
- Clinical Labs of Hawaii-Lanai Community HospitalCertificate of Compliance, Hospital12D0619602
- 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
Related
Questions
What is the CLIA number for Pol Straub Lanai Family Health Center in Lanai City?
12D0620105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pol Straub Lanai Family Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0620105 expire?
The CMS file lists August 11, 2028 as the certificate expiration date; the certificate took effect August 12, 2026.