CLIA lab
CLIA 12D0679391: Hale Makua Health Services Wailuku
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0679391 belongs to Hale Makua Health Services Wailuku in Wailuku, 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
- May 18, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 12D0679391
- Lab name
- Hale Makua Health Services Wailuku
- Address
- 1540 Lower Main Street, Wailuku, HI 96793
- Phone
- (808) 243-1722
- Fax
- (808) 243-1744
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
- Hale Makua - WailukuCMS Care Compare ratings for the facility at the same street address
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- BCP Inc DBA Bayada Home Health CareCertificate of Waiver, Home health agency12D1008823
- Bayada Home CareCertificate of Waiver, Home health agency12D2070546
- Clinical Labs of Hawaii-Maui Memorial HospitalCertificate of Accreditation, Hospital12D0619972
- Community Clinic of Maui IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D0874244
- Hawaii State Doh-Maui District Health LaboratoryCertificate of Compliance, Public health laboratory12D0667779
- Hui No Ke Ola Pono, IncCertificate for Provider-Performed Microscopy Procedures, Other12D0887798
- Island Kidney CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2191496
- Jeffrey H Chester DOCertificate of Waiver, Physician office12D2046004
Related
Questions
What is the CLIA number for Hale Makua Health Services Wailuku in Wailuku?
12D0679391, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hale Makua Health Services Wailuku hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0679391 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.