CLIA lab

CLIA 12D1080962: Usrc Koolau LLC DBA US Renal Care Koolau Dialysis

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

CLIA number 12D1080962 belongs to Usrc Koolau LLC DBA US Renal Care Koolau Dialysis in Kaneohe, HI.

Certificate of Waiver, effective March 6, 2026, expires March 5, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 6, 2026
Certificate expiration
March 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 2008
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
12D1080962
Lab name
Usrc Koolau LLC DBA US Renal Care Koolau Dialysis
Address
47-388 Hui Iwa Street, Kaneohe, HI 96744
Phone
(808) 239-3400
Fax
(808) 239-3401

Annual test volume the lab reported

Waived tests
500

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

Care facility at this address

Affiliated CLIA numbers

Other labs in Kaneohe, HI

Related

Questions

What is the CLIA number for Usrc Koolau LLC DBA US Renal Care Koolau Dialysis in Kaneohe?

12D1080962, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Usrc Koolau LLC DBA US Renal Care Koolau Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D1080962 expire?

The CMS file lists March 5, 2028 as the certificate expiration date; the certificate took effect March 6, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.