CLIA lab
CLIA 12D0877885: Samuel Mahelona Memorial Hospital
Kapaa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0877885 belongs to Samuel Mahelona Memorial Hospital in Kapaa, HI.
Certificate of Compliance, effective March 10, 2025, expires March 9, 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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- March 10, 2025
- Certificate expiration
- March 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 1993
- Facility type
- Hospital
- Ownership (control type)
- Government, state
- 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
- 12D0877885
- Lab name
- Samuel Mahelona Memorial Hospital
- Address
- 4800 Kawaihau Rd, Kapaa, HI 96746
- Phone
- (808) 823-4195
- Fax
- (808) 823-4102
Annual test volume the lab reported
- Waived tests
- 5,700
- Other nonwaived tests
- 212
- Total
- 5,912
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Samuel Mahelona Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Other labs in Kapaa, HI
- Diagnostic Laboratory Services-Sam Mahelona HospCertificate of Compliance, Independent12D0619633
- Hhsc Kauai Region Clinics the Clinic at KapaaCertificate for Provider-Performed Microscopy Procedures, Rural health clinic12D2219386
- Ho'ola Lahui Hawaii Kauai Community Health CTRCertificate of Waiver, Community clinic12D1021610
- Kapa'a PediatricsCertificate of Waiver, Physician office12D2016255
- Kauai District Health Office Std/Aids Prev PrgmCertificate of Waiver, Community clinic12D2010107
- Kauai Home Care LLCCertificate of Waiver, Home health agency12D2349962
- Kauai Medical Clinic - Kapaa ClinicCertificate of Waiver, Community clinic12D0883258
- Olakino Family Practice, LLCCertificate of Waiver, Mobile lab12D2268616
- Wai Ola HealthCertificate of Waiver, Rural health clinic12D2342359
Related
Questions
What is the CLIA number for Samuel Mahelona Memorial Hospital in Kapaa?
12D0877885, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Samuel Mahelona Memorial Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D0877885 expire?
The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.