CLIA lab
CLIA 12D1051948: Liberty Dialysis-Hawaii Llc-West Kauai Dialysis
Waimea, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1051948 belongs to Liberty Dialysis-Hawaii Llc-West Kauai Dialysis in Waimea, HI.
Certificate of Waiver, effective August 20, 2025, expires August 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 20, 2025
- Certificate expiration
- August 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 2006
- Facility type
- End stage renal disease dialysis facility
- 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
- 12D1051948
- Lab name
- Liberty Dialysis-Hawaii Llc-West Kauai Dialysis
- Address
- 4643-A Waimea Canyon Rd, Waimea, HI 96796
- Phone
- (808) 338-1100
- Fax
- (808) 338-1185
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Liberty Dialysis Hawaii - West Kauai DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Waimea, HI
- Diagnostic Laboratory Services-Kauai Vet Mem HospCertificate of Accreditation, Independent12D2294400
- Hhsc Kauai Region Clinics, the Clinic at WaimeaCertificate for Provider-Performed Microscopy Procedures, Other12D0953453
- Ho'ola Lahui Hawaii Kauai Community Health CTRCertificate of Waiver, Community clinic12D2298606
- Kaiser Permanente Waimea Clinic LaboratoryCertificate of Waiver, Independent12D1102246
- Kauai Care CenterCertificate of Waiver, Skilled nursing or nursing facility12D0684203
- Kauai Veterans Memorial HospitalCertificate of Waiver, Hospital12D2301192
Related
Questions
What is the CLIA number for Liberty Dialysis-Hawaii Llc-West Kauai Dialysis in Waimea?
12D1051948, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Dialysis-Hawaii Llc-West Kauai Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D1051948 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.