CLIA lab
CLIA 12D1101500: Ka Wai Ola Family Med Clinic LLC
Waipahu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1101500 belongs to Ka Wai Ola Family Med Clinic LLC in Waipahu, HI.
Certificate of Waiver, effective June 26, 2025, expires June 25, 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
- June 26, 2025
- Certificate expiration
- June 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 26, 2009
- Facility type
- Physician office
- 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
- 12D1101500
- Lab name
- Ka Wai Ola Family Med Clinic LLC
- Address
- 94-849 Lumiaina St #207, Waipahu, HI 96797
- Phone
- (808) 677-8222
- Fax
- (808) 677-8333
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ka Wai Ola Family Med Clinic LLC in Waipahu?
12D1101500, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ka Wai Ola Family Med Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D1101500 expire?
The CMS file lists June 25, 2027 as the certificate expiration date; the certificate took effect June 26, 2025.