CLIA lab

CLIA 12D2086052: Island Urology Oahu LLC

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

CLIA number 12D2086052 belongs to Island Urology Oahu LLC in Honolulu, HI.

Certificate of Waiver, effective June 3, 2025, expires June 2, 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 3, 2025
Certificate expiration
June 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 27, 2014
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
12D2086052
Lab name
Island Urology Oahu LLC
Address
1329 Lusitana St Suite 706, Honolulu, HI 96813
Phone
(808) 536-2306
Fax
(808) 537-6762

Annual test volume the lab reported

Waived tests
8,000

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

Affiliated CLIA numbers

Other labs in Honolulu, HI

Related

Questions

What is the CLIA number for Island Urology Oahu LLC in Honolulu?

12D2086052, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Island Urology Oahu LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2086052 expire?

The CMS file lists June 2, 2027 as the certificate expiration date; the certificate took effect June 3, 2025.

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