CLIA lab
CLIA 12D1078523: Lanai Community Health Center
Lanai City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1078523 belongs to Lanai Community Health Center in Lanai City, HI.
Certificate of Waiver, effective March 24, 2026, expires March 23, 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
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
- March 24, 2026
- Certificate expiration
- March 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2008
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 12D1078523
- Lab name
- Lanai Community Health Center
- Address
- 333 6th Street, Lanai City, HI 96763
- Phone
- (808) 565-6919
- Fax
- (808) 565-9111
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.
Other labs in Lanai City, HI
- Clinical Labs of Hawaii-Lanai Community HospitalCertificate of Compliance, Hospital12D0619602
- Lanai Community Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility12D2170764
- Lanai Community HospitalCertificate of Waiver, Skilled nursing or nursing facility12D2191304
- Lanai Kinaole IncCertificate of Waiver, Home health agency12D2197923
- Pol Straub Lanai Family Health CenterCertificate of Waiver, Community clinic12D0620105
Related
Questions
What is the CLIA number for Lanai Community Health Center in Lanai City?
12D1078523, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lanai Community Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D1078523 expire?
The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.