CLIA lab
CLIA 12D2167407: Exclusive Hawaii Rehab
Hakalau, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2167407 belongs to Exclusive Hawaii Rehab in Hakalau, HI.
Certificate of Waiver, effective June 6, 2025, expires June 5, 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
- June 6, 2025
- Certificate expiration
- June 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 2019
- Facility type
- Other
- 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
- 12D2167407
- Lab name
- Exclusive Hawaii Rehab
- Address
- 31-631 Old Mamalahoa Hwy, Hakalau, HI 96710
- Phone
- (808) 775-0200
- Fax
- (808) 930-3600
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Exclusive Hawaii Rehab in Hakalau?
12D2167407, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Exclusive Hawaii Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2167407 expire?
The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.