CLIA lab

CLIA 12D1057100: Queen's Island Urgent Care Kahala

Honolulu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 12D1057100 belongs to Queen's Island Urgent Care Kahala in Honolulu, HI.

Certificate of Waiver, effective August 2, 2026, expires August 1, 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
August 2, 2026
Certificate expiration
August 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 2, 2006
Facility type
Other
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
12D1057100
Lab name
Queen's Island Urgent Care Kahala
Address
1215 Hunakai Street, Honolulu, HI 96816
Phone
(808) 735-0007
Fax
(808) 686-2211

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Queen's Island Urgent Care Kahala in Honolulu?

12D1057100, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Queen's Island Urgent Care Kahala hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D1057100 expire?

The CMS file lists August 1, 2028 as the certificate expiration date; the certificate took effect August 2, 2026.

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