CLIA lab
CLIA 12D2167390: Queen's Health Care Centers-Mililani
Mililani, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2167390 belongs to Queen's Health Care Centers-Mililani in Mililani, HI.
Certificate for Provider-Performed Microscopy Procedures, effective April 22, 2026, expires April 21, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 2019
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 12D2167390
- Lab name
- Queen's Health Care Centers-Mililani
- Address
- 95-1249 Meheula Pkwy Ste 129, Mililani, HI 96789
- Phone
- (808) 691-8511
- Fax
- (808) 623-2059
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 50
- Total
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mililani, HI
- Access Medical ClinicsCertificate of Waiver, Other12D1076267
- Carlos A Omphroy MD IncCertificate of Waiver, Physician office12D2108755
- Complete Dermatology - MililaniCertificate of Compliance, Physician office12D2081591
- Grima Dermatology and Surgery, IncCertificate of Registration, Other12D2337130
- Liberty Dialysis Hawaii LLC Mililani DialysisCertificate of Waiver, End stage renal disease dialysis facility12D2170840
- Straub Benioff Med CTR Mililani Clinic & Urg CareCertificate for Provider-Performed Microscopy Procedures, Community clinic12D2327720
- Ukuwai Properties, LLCCertificate of Waiver, Assisted living facility12D2193978
- WorkstarCertificate of Waiver, Physician office12D2328644
Related
Questions
What is the CLIA number for Queen's Health Care Centers-Mililani in Mililani?
12D2167390, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Queen's Health Care Centers-Mililani hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D2167390 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.