CLIA lab
CLIA 12D0914311: Pearl City Nursing Home
Pearl City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0914311 belongs to Pearl City Nursing Home in Pearl City, HI.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 1996
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 12D0914311
- Lab name
- Pearl City Nursing Home
- Address
- 919 Lehua Ave, Pearl City, HI 96782
- Phone
- (808) 687-3200
- Fax
- (808) 687-3209
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pearl City Post AcuteCMS Care Compare ratings for the facility at the same street address
Other labs in Pearl City, HI
- Carlos B C Lam MDCertificate of Waiver, Physician office12D0692532
- Castle Physician NetworkCertificate of Waiver, Other12D2253716
- Hawaii State Doh-Hi State Laboratories DivisionCertificate of Compliance, Public health laboratory12D0646259
- Leeward Community College Health CenterCertificate of Waiver, School or student health service12D0970413
- Pacific Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center12D1073204
- Pearl City Specialized Residential Svcs ProgramCertificate of Waiver, Other12D1079401
- Plaza at Pearl City, LPCertificate of Waiver, Assisted living facility12D2194274
Related
Questions
What is the CLIA number for Pearl City Nursing Home in Pearl City?
12D0914311, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pearl City Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0914311 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.