CLIA lab
CLIA 12D2180721: Ka'u Rural Health Clinic
Pahala, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2180721 belongs to Ka'u Rural Health Clinic in Pahala, HI.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2020
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2180721
- Lab name
- Ka'u Rural Health Clinic
- Address
- 1 Kamani St, Building Rural Health Clinic, Pahala, HI 96777
- Phone
- (808) 932-4205
- Fax
- (808) 928-2030
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pahala, HI
Related
Questions
What is the CLIA number for Ka'u Rural Health Clinic in Pahala?
12D2180721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ka'u Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2180721 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.