CLIA lab
CLIA 12D2077899: Diagnostic Laboratory Services-Queens Nhi Hosp
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2077899 belongs to Diagnostic Laboratory Services-Queens Nhi Hosp in Kamuela, HI.
Certificate of Accreditation, effective November 18, 2025, expires November 17, 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 Accreditation
- Certificate effective
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 2014
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2077899
- Lab name
- Diagnostic Laboratory Services-Queens Nhi Hosp
- Address
- 67-1123 Mamalahoa Hwy, Lucy Henriques Med Cnter Suite 116, Kamuela, HI 96743
- Phone
- (808) 881-4470
- Fax
- (808) 887-0912
Annual test volume the lab reported
- Waived tests
- 1,223
- Tests under accreditation
- 239,607
- Total
- 240,830
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 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
- Paniolo Pediatric and Family Medicine, IncCertificate of Waiver, Physician office12D2097582
Related
Questions
What is the CLIA number for Diagnostic Laboratory Services-Queens Nhi Hosp in Kamuela?
12D2077899, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diagnostic Laboratory Services-Queens Nhi Hosp hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 12D2077899 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.