CLIA lab
CLIA 12D2170677: Liberty Dialysis - Hawaii LLC - Kahana Dialysis
Lahaina, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2170677 belongs to Liberty Dialysis - Hawaii LLC - Kahana Dialysis in Lahaina, HI.
Certificate of Waiver, effective August 15, 2025, expires August 14, 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
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 2019
- 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
- 12D2170677
- Lab name
- Liberty Dialysis - Hawaii LLC - Kahana Dialysis
- Address
- 4405 Honoapiilani Hwy, Suite 208, Lahaina, HI 96761
- Phone
- (808) 669-6628
- Fax
- (808) 669-1272
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Liberty Dialysis Hawaii - Kahana Dialysis FacilityCMS Care Compare ratings for the facility at the same street address
Other labs in Lahaina, HI
- Kaanapali Medical Services IncCertificate of Waiver, Other12D0709275
- Kaiser Permanente Lahaina Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Physician office12D2299283
- Kaiser Permanente Lahaina MHV#2 LaboratoryCertificate of Compliance, Mobile lab12D2299285
- Laulea Health CenterCertificate of Waiver, Physician office12D2166250
- Maui Medical Group - LahainaCertificate for Provider-Performed Microscopy Procedures, Other12D0974680
- RP Medical LLC DBA Minit Medical Urgent CareCertificate of Waiver, Physician office12D2134099
- Rainbow Dialysis LahainaCertificate of Waiver, End stage renal disease dialysis facility12D2087586
- Times Pharmacy HonokowaiCertificate of Waiver, Pharmacy12D2092284
Related
Questions
What is the CLIA number for Liberty Dialysis - Hawaii LLC - Kahana Dialysis in Lahaina?
12D2170677, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Dialysis - Hawaii LLC - Kahana Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2170677 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.