CLIA lab
CLIA 12D0909628: Kahuku Medical Center POCT Laboratory
Kahuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0909628 belongs to Kahuku Medical Center POCT Laboratory in Kahuku, HI.
Certificate of Waiver, effective July 14, 2026, expires July 13, 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
- July 14, 2026
- Certificate expiration
- July 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 1995
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0909628
- Lab name
- Kahuku Medical Center POCT Laboratory
- Address
- 56-117 Pualalea St, Med Surg Unit Second Floor, Kahuku, HI 96731
- Phone
- (808) 293-6292
- Fax
- (808) 293-4497
Annual test volume the lab reported
- Waived tests
- 2,085
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kahuku, HI
- Kahuku Medical CenterCertificate of Accreditation, Hospital12D0619060
- Kaiser Permanente Kahuku Clinic LaboratoryCertificate of Waiver, Independent12D0984685
- Kaiser Permanente Kahuku Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D0911704
- Ko'olauloa Community Health & Wellness Center IncCertificate of Waiver, Federally qualified health center12D2093031
Related
Questions
What is the CLIA number for Kahuku Medical Center POCT Laboratory in Kahuku?
12D0909628, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kahuku Medical Center POCT Laboratory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0909628 expire?
The CMS file lists July 13, 2028 as the certificate expiration date; the certificate took effect July 14, 2026.