CLIA lab

CLIA 12D2179177: Hawaii Pain and Spine

Kailua, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 12D2179177 belongs to Hawaii Pain and Spine in Kailua, HI.

Certificate of Waiver, effective September 15, 2025, expires September 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
September 15, 2025
Certificate expiration
September 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 2020
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
12D2179177
Lab name
Hawaii Pain and Spine
Address
40 Aulike St, Ste 411, Kailua, HI 96734
Phone
(808) 452-1379
Fax
(808) 201-4961

Annual test volume the lab reported

Waived tests
25

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kailua, HI

Related

Questions

What is the CLIA number for Hawaii Pain and Spine in Kailua?

12D2179177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hawaii Pain and Spine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2179177 expire?

The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.

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