CLIA lab
CLIA 12D0883258: Kauai Medical Clinic - Kapaa Clinic
Kapaa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0883258 belongs to Kauai Medical Clinic - Kapaa Clinic in Kapaa, HI.
Certificate of Waiver, effective December 7, 2024, expires December 6, 2026.
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
- December 7, 2024
- Certificate expiration
- December 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 1994
- 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
- 12D0883258
- Lab name
- Kauai Medical Clinic - Kapaa Clinic
- Address
- 4-831 Kuhio Highway, Suites 332 & 372, Kapaa, HI 96746
- Phone
- (808) 822-3431
- Fax
- (808) 822-2798
Annual test volume the lab reported
- Waived tests
- 1,065
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
- Olakino Family Practice, LLCCertificate of Waiver, Mobile lab12D2268616
- Samuel Mahelona Memorial HospitalCertificate of Compliance, Hospital12D0877885
- Wai Ola HealthCertificate of Waiver, Rural health clinic12D2342359
Related
Questions
What is the CLIA number for Kauai Medical Clinic - Kapaa Clinic in Kapaa?
12D0883258, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kauai Medical Clinic - Kapaa Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0883258 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.