CLIA lab

CLIA 12D2099343: Venture Medical 21 Inc

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

CLIA number 12D2099343 belongs to Venture Medical 21 Inc in Ewa Beach, HI.

Certificate of Waiver, effective July 24, 2025, expires July 23, 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
July 24, 2025
Certificate expiration
July 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 24, 2015
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
12D2099343
Lab name
Venture Medical 21 Inc
Address
91-896 Makule Rd #102, Ewa Beach, HI 96706
Phone
(808) 689-4414
Fax
(808) 689-7115

Annual test volume the lab reported

Waived tests
100

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

Other labs in Ewa Beach, HI

Related

Questions

What is the CLIA number for Venture Medical 21 Inc in Ewa Beach?

12D2099343, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Venture Medical 21 Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2099343 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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