CLIA lab
CLIA 12D0984685: Kaiser Permanente Kahuku Clinic Laboratory
Kahuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0984685 belongs to Kaiser Permanente Kahuku Clinic Laboratory in Kahuku, HI.
Certificate of Waiver, effective March 27, 2025, expires March 26, 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 Waiver
- Certificate effective
- March 27, 2025
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2001
- Facility type
- Independent
- 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
- 12D0984685
- Lab name
- Kaiser Permanente Kahuku Clinic Laboratory
- Address
- 56-565 Kamehameha Hwy, Kahuku, HI 96731
- Phone
- (808) 432-3922
- Fax
- (808) 432-3928
Annual test volume the lab reported
- Waived tests
- 740
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kahuku, HI
- Kahuku Medical CenterCertificate of Accreditation, Hospital12D0619060
- Kahuku Medical Center POCT LaboratoryCertificate of Waiver, Rural health clinic12D0909628
- 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 Kaiser Permanente Kahuku Clinic Laboratory in Kahuku?
12D0984685, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Kahuku Clinic Laboratory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0984685 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.