CLIA lab
CLIA 12D0992012: Wahiawa Family Practice Clinic
Wahiawa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0992012 belongs to Wahiawa Family Practice Clinic in Wahiawa, HI.
Certificate for Provider-Performed Microscopy Procedures, effective October 4, 2025, expires October 3, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 4, 2025
- Certificate expiration
- October 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2001
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0992012
- Lab name
- Wahiawa Family Practice Clinic
- Additional name
- Jason T Lam, MD
- Address
- 302 California Ave #103, Wahiawa, HI 96786
- Phone
- (808) 621-7733
- Fax
- (808) 621-7799
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wahiawa, HI
- Arnold Seid MDCertificate of Waiver, Physician office12D0898361
- Central HealthCertificate of Waiver, Other practitioner12D2241491
- Charlie Y Sonido MD LLCCertificate of Waiver, Physician office12D2248547
- Hawaiian Eye Center, IncCertificate of Waiver, Ambulatory surgery center12D0713210
- Hi Coalition for HealthCertificate of Waiver, Other12D0619795
- Minuteclinic Diagnostic of Hawaii LLC #9300Certificate of Waiver, Other12D2099594
- Queen's Medical Center Wahiawa-DlsCertificate of Accreditation, Other12D2300900
- Sorbella Guillermo MD, IncCertificate of Waiver, Physician office12D2180124
- Usrc Wahiawa, LLCCertificate of Waiver, End stage renal disease dialysis facility12D0619799
- Wahiawa Center for Community Health, theCertificate of Waiver, Federally qualified health center12D2133942
Related
Questions
What is the CLIA number for Wahiawa Family Practice Clinic in Wahiawa?
12D0992012, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wahiawa Family Practice Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D0992012 expire?
The CMS file lists October 3, 2027 as the certificate expiration date; the certificate took effect October 4, 2025.