CLIA lab
CLIA 12D1086382: Liberty Dialysis North Hawaii LLC
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1086382 belongs to Liberty Dialysis North Hawaii LLC in Kamuela, 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
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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
- July 10, 2008
- 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
- 12D1086382
- Lab name
- Liberty Dialysis North Hawaii LLC
- Address
- 67-1123 Mamalahoa Hwy, Suite 112, Kamuela, HI 96743
- Phone
- (808) 930-2001
- Fax
- (808) 885-1506
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.
Other labs in Kamuela, HI
- Diagnostic Laboratory Services-Queens Nhi HospCertificate of Accreditation, Independent12D2077899
- Diagnostic Laboratory Svcs-Qmc North Hi Path LabCertificate of Accreditation, Hospital12D2096714
- Five Mountains Hawaii Inc DBA Kipuka O Ke OlaCertificate of Waiver, Rural health clinic12D2125620
- Kaiser Permanente Waimea Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Physician office12D0911714
- Kamuela Medical Associates IncCertificate of Waiver, Physician office12D0692936
- Kohala Coast Urgent CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2265189
- Kona Center of Facial SurgeryCertificate of Waiver, Other practitioner12D2198504
- Kta Kamuela PharmacyCertificate of Waiver, Pharmacy12D2237338
- Mango MedicalCertificate of Waiver, Other12D2302206
- Paniolo Pediatric and Family Medicine, IncCertificate of Waiver, Physician office12D2097582
Related
Questions
What is the CLIA number for Liberty Dialysis North Hawaii LLC in Kamuela?
12D1086382, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Dialysis North Hawaii LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D1086382 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.