CLIA lab

CLIA 12D0712852: Pali Momi Medical Center

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

CLIA number 12D0712852 belongs to Pali Momi Medical Center in Aiea, HI.

Certificate of Accreditation, effective October 22, 2024, expiration date October 21, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 Accreditation
Certificate effective
October 22, 2024
Certificate expiration
October 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 23, 1993
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
The Joint Commission

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
12D0712852
Lab name
Pali Momi Medical Center
Address
98-1079 Moanalua Road, Aiea, HI 96701
Phone
(808) 486-6000

Annual test volume the lab reported

Tests under accreditation
6,422

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

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Questions

What is the CLIA number for Pali Momi Medical Center in Aiea?

12D0712852, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pali Momi Medical Center hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 12D0712852 expire?

The CMS file lists October 21, 2026 as the certificate expiration date; the certificate took effect October 22, 2024.

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