CLIA lab
CLIA 12D0621291: Avalon Care Center
Honolulu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0621291 belongs to Avalon Care Center in Honolulu, HI.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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
- July 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 1993
- 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
- 12D0621291
- Lab name
- Avalon Care Center
- Address
- 1930 Kamehameha Iv Road, Honolulu, HI 96819
- Phone
- (808) 847-4834
- Fax
- (808) 848-8020
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Avalon Care Center - Honolulu, LLCCMS Care Compare ratings for the facility at the same street address
Other labs in Honolulu, HI
- 'iolani SchoolCertificate of Waiver, School or student health service12D2213184
- 15 CraigsideCertificate of Waiver, Skilled nursing or nursing facility12D2021949
- 5 Minute Pharmacy Ala Moana LLCCertificate of Waiver, Pharmacy12D2196483
- Advanced Psychiatric Therapeutics LLCCertificate of Waiver, Physician office12D2095677
- Advanced Reproductive Center of HawaiiCertificate for Provider-Performed Microscopy Procedures, Physician office12D1043663
- Adventist Health Castle Urgent Care-Hawaii KaiCertificate of Waiver, Other12D2331387
- Ala Moana Walk-In Medical ClinicCertificate of Waiver, Other12D2237151
- Allergy/Asthma Specialties IncCertificate of Waiver, Physician office12D0620813
- Aloha Cares Medical LLCCertificate of Waiver, Other12D2308735
- Aloha Laser Vision LLCCertificate of Waiver, Physician office12D2078484
Related
Questions
What is the CLIA number for Avalon Care Center in Honolulu?
12D0621291, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avalon Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0621291 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.