CLIA lab
CLIA 12D1001774: Ka'u Hospital
Pahala, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1001774 belongs to Ka'u Hospital in Pahala, HI.
Certificate of Waiver, effective July 19, 2026, expires July 18, 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
- July 19, 2026
- Certificate expiration
- July 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2002
- Facility type
- Hospital
- Ownership (control type)
- Government, state
- 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
- 12D1001774
- Lab name
- Ka'u Hospital
- Address
- 1 Kamani Street, Building Main Hospital, Pahala, HI 96777
- Phone
- (808) 932-4390
- Fax
- (808) 928-8980
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Kau HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Pahala, HI
Related
Questions
What is the CLIA number for Ka'u Hospital in Pahala?
12D1001774, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ka'u Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D1001774 expire?
The CMS file lists July 18, 2028 as the certificate expiration date; the certificate took effect July 19, 2026.