CLIA lab
CLIA 12D2025808: Queen's North Hawaii Community Hospital
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2025808 belongs to Queen's North Hawaii Community Hospital in Kamuela, HI.
Certificate of Waiver, effective June 16, 2025, expires June 15, 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 16, 2025
- Certificate expiration
- June 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 2011
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- 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
- 12D2025808
- Lab name
- Queen's North Hawaii Community Hospital
- Additional name
- Primary Care Clinic
- Address
- 65-1267 Kawaihae Rd, Kamuela, HI 96743
- Phone
- (808) 881-4745
- Fax
- (808) 881-4404
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.
Affiliated CLIA numbers
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
- Liberty Dialysis North Hawaii LLCCertificate of Waiver, End stage renal disease dialysis facility12D1086382
- Mango MedicalCertificate of Waiver, Other12D2302206
Related
Questions
What is the CLIA number for Queen's North Hawaii Community Hospital in Kamuela?
12D2025808, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Queen's North Hawaii Community Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2025808 expire?
The CMS file lists June 15, 2027 as the certificate expiration date; the certificate took effect June 16, 2025.