CLIA lab

CLIA 12D0677456: Nancy S Clarke MD LLC DBA Pearlridge Pediatrics

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

CLIA number 12D0677456 belongs to Nancy S Clarke MD LLC DBA Pearlridge Pediatrics in Aiea, 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
January 11, 1993
Facility type
Physician office
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
12D0677456
Lab name
Nancy S Clarke MD LLC DBA Pearlridge Pediatrics
Address
98-211 Pali Momi Ste 800, Aiea, HI 96701
Phone
(808) 487-1559
Fax
(808) 486-6485

Annual test volume the lab reported

Waived tests
480

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

Other labs in Aiea, HI

Related

Questions

What is the CLIA number for Nancy S Clarke MD LLC DBA Pearlridge Pediatrics in Aiea?

12D0677456, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nancy S Clarke MD LLC DBA Pearlridge Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D0677456 expire?

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

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