CLIA lab
CLIA 12D2159938: Primary Care Clinic of Hawaii
Honolulu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2159938 belongs to Primary Care Clinic of Hawaii in Honolulu, HI.
Certificate of Waiver, effective December 31, 2024, expires December 30, 2026.
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
- December 31, 2024
- Certificate expiration
- December 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 31, 2018
- 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
- 12D2159938
- Lab name
- Primary Care Clinic of Hawaii
- Address
- 1807 N King Street Ste 101, Honolulu, HI 96819
- Phone
- (808) 841-4195
- Fax
- (808) 841-0627
Annual test volume the lab reported
- Waived tests
- 300,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Honolulu, HI
- 'iolani SchoolCertificate of Waiver, School or student health service12D2213184
- 15 CraigsideCertificate of Waiver, Skilled nursing or nursing facility12D2021949
- 5 Minute Pharmacy Ala Moana LLCCertificate of Waiver, Pharmacy12D2196483
- Advanced Psychiatric Therapeutics LLCCertificate of Waiver, Physician office12D2095677
- Advanced Reproductive Center of HawaiiCertificate for Provider-Performed Microscopy Procedures, Physician office12D1043663
- Adventist Health Castle Urgent Care-Hawaii KaiCertificate of Waiver, Other12D2331387
- Ala Moana Walk-In Medical ClinicCertificate of Waiver, Other12D2237151
- Allergy/Asthma Specialties IncCertificate of Waiver, Physician office12D0620813
- Aloha Cares Medical LLCCertificate of Waiver, Other12D2308735
- Aloha Laser Vision LLCCertificate of Waiver, Physician office12D2078484
Related
Questions
What is the CLIA number for Primary Care Clinic of Hawaii in Honolulu?
12D2159938, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Care Clinic of Hawaii hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2159938 expire?
The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.