CLIA lab
CLIA 12D2093031: Ko'olauloa Community Health & Wellness Center Inc
Kahuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2093031 belongs to Ko'olauloa Community Health & Wellness Center Inc in Kahuku, HI.
Certificate of Waiver, effective March 18, 2025, expires March 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 Waiver
- Certificate effective
- March 18, 2025
- Certificate expiration
- March 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 12D2093031
- Lab name
- Ko'olauloa Community Health & Wellness Center Inc
- Address
- 56-119 Pualalea St, Kahuku, HI 96731
- Phone
- (808) 293-9231
- Fax
- (808) 427-6057
Annual test volume the lab reported
- Waived tests
- 8
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kahuku, HI
- Kahuku Medical CenterCertificate of Accreditation, Hospital12D0619060
- Kahuku Medical Center POCT LaboratoryCertificate of Waiver, Rural health clinic12D0909628
- Kaiser Permanente Kahuku Clinic LaboratoryCertificate of Waiver, Independent12D0984685
- Kaiser Permanente Kahuku Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D0911704
Related
Questions
What is the CLIA number for Ko'olauloa Community Health & Wellness Center Inc in Kahuku?
12D2093031, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ko'olauloa Community Health & Wellness Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2093031 expire?
The CMS file lists March 17, 2027 as the certificate expiration date; the certificate took effect March 18, 2025.