CLIA lab

CLIA 12D0914857: Ilar Community Health Clinic LLC

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

CLIA number 12D0914857 belongs to Ilar Community Health Clinic LLC in Waipahu, HI.

Certificate of Waiver, effective May 13, 2026, expires May 12, 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
May 13, 2026
Certificate expiration
May 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 1996
Facility type
Physician office
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
12D0914857
Lab name
Ilar Community Health Clinic LLC
Address
94-866 Moloalo St #1B, Waipahu, HI 96797
Phone
(808) 677-5832

Annual test volume the lab reported

Waived tests
100

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

Other labs in Waipahu, HI

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Questions

What is the CLIA number for Ilar Community Health Clinic LLC in Waipahu?

12D0914857, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ilar Community Health Clinic LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D0914857 expire?

The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.

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