CLIA lab
CLIA 12D0921254: Kauai Medical Clinic - Eleele Clinic
Eleele, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0921254 belongs to Kauai Medical Clinic - Eleele Clinic in Eleele, HI.
Certificate of Waiver, effective December 10, 2024, expires December 9, 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 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 1996
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0921254
- Lab name
- Kauai Medical Clinic - Eleele Clinic
- Address
- 4392 Waialo Rd, Eleele, HI 96705
- Phone
- (808) 338-0499
- Fax
- (808) 335-0496
Annual test volume the lab reported
- Waived tests
- 1,277
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Eleele, HI
Related
Questions
What is the CLIA number for Kauai Medical Clinic - Eleele Clinic in Eleele?
12D0921254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kauai Medical Clinic - Eleele Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0921254 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.