CLIA lab
CLIA 12D0923870: Kaiser Permanente Moanalua MC Perfusion Lab
Honolulu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0923870 belongs to Kaiser Permanente Moanalua MC Perfusion Lab in Honolulu, HI.
Certificate of Accreditation, effective November 18, 2025, expires November 17, 2027.
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 Accreditation
- Certificate effective
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 1997
- Facility type
- Health maintenance organization
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0923870
- Lab name
- Kaiser Permanente Moanalua MC Perfusion Lab
- Address
- 3288 Moanalua Road Tower Bldg Or, Honolulu, HI 96819
- Phone
- (808) 432-8800
- Fax
- (808) 432-8867
Annual test volume the lab reported
- Tests under accreditation
- 4,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kaiser Permanente Moanalua MC Perfusion Lab in Honolulu?
12D0923870, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Moanalua MC Perfusion Lab hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 12D0923870 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.