CLIA lab
CLIA 12D0994964: Koolauloa Community Health and Wellness Center Inc
Hauula, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0994964 belongs to Koolauloa Community Health and Wellness Center Inc in Hauula, HI.
Certificate of Waiver, effective January 7, 2026, expires January 6, 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
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 2002
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 12D0994964
- Lab name
- Koolauloa Community Health and Wellness Center Inc
- Address
- 54-316 Kamehameha Hwy Suite 6, Hauula, HI 96717
- Phone
- (808) 293-9231
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Koolauloa Community Health and Wellness Center Inc in Hauula?
12D0994964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Koolauloa Community Health and Wellness Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D0994964 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.