CLIA lab
CLIA 12D0665883: Kauai Medical Clinic - Main Clinic
Lihue, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0665883 belongs to Kauai Medical Clinic - Main Clinic in Lihue, HI.
Certificate for Provider-Performed Microscopy Procedures, effective May 22, 2025, expires May 21, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 22, 2025
- Certificate expiration
- May 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 12D0665883
- Lab name
- Kauai Medical Clinic - Main Clinic
- Address
- 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766
- Phone
- (808) 245-1500
- Fax
- (808) 246-1625
Annual test volume the lab reported
- Waived tests
- 4,961
- Provider-performed microscopy tests
- 468
- Total
- 5,429
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lihue, HI
- American Medical Response KauaiCertificate of Waiver, Ambulance12D2266638
- Bayada Home CareCertificate of Waiver, Home health agency12D1008822
- Bridget Collins MD LLCCertificate of Waiver, Physician office12D2143128
- Charlie Y Sonido MD IncCertificate of Waiver, Physician office12D2102144
- Clinical Labs of Hawaii-Wilcox HospitalCertificate of Accreditation, Independent12D0619664
- Garden Isle Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility12D1027953
- Hawaii State Doh-Kauai District Health LaboratoryCertificate of Compliance, Public health laboratory12D0667781
- Hhsc Kauai Region Clinics the Clinic at LihueCertificate for Provider-Performed Microscopy Procedures, Rural health clinic12D2219411
- Kaiser Permanente Lihue Clinic LaboratoryCertificate of Waiver, Independent12D2099345
- Kaiser Permanente Lihue Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D2099344
Related
Questions
What is the CLIA number for Kauai Medical Clinic - Main Clinic in Lihue?
12D0665883, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kauai Medical Clinic - Main Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D0665883 expire?
The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.