CLIA lab
CLIA 12D2101896: Usrc West Oahu, LLC
Kapolei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2101896 belongs to Usrc West Oahu, LLC in Kapolei, HI.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 12D2101896
- Lab name
- Usrc West Oahu, LLC
- Additional name
- DBA US Renal Care West Oahu Dialysis
- Address
- 889 Kamokila Blvd, Suite 200, Kapolei, HI 96707
- Phone
- (808) 674-9604
- Fax
- (808) 674-2879
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.
Care facility at this address
- USRC West Oahu DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Kapolei, HI
- Ahcs-Pali Women's Health CenterCertificate of Waiver, Physician office12D2290075
- Blood Bank of HawaiiCertificate of Accreditation, Blood bank12D0621292
- Castle Physician NetworkCertificate of Waiver, Other12D2253712
- Complete Dermatology LLC KapoleiCertificate for Provider-Performed Microscopy Procedures, Physician office12D2081587
- Daniel K Akaka State Veterans HomeCertificate of Waiver, Skilled nursing or nursing facility12D2316115
- Daniel K Akaka VA Multi Specialty ClinicCertificate of Accreditation, Community clinic12D2301531
- Family Doctor LLC, theCertificate of Waiver, Physician office12D2026896
- Ka Puna Wai OlaCertificate of Waiver, Skilled nursing or nursing facility12D0970226
- Kaiser Permanente West Oahu Med Ofc PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D2204356
- Kaiser Permanente West Oahu Medical Ofc LabCertificate of Compliance, Independent12D2204353
Related
Questions
What is the CLIA number for Usrc West Oahu, LLC in Kapolei?
12D2101896, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usrc West Oahu, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2101896 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.