CLIA lab
CLIA 12D2191304: Lanai Community Hospital
Lanai City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2191304 belongs to Lanai Community Hospital in Lanai City, HI.
Certificate of Waiver, effective August 25, 2026, expires August 24, 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 of Waiver
- Certificate effective
- August 25, 2026
- Certificate expiration
- August 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2020
- Facility type
- Skilled nursing or nursing 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
- 12D2191304
- Lab name
- Lanai Community Hospital
- Address
- 628 7th Street, Lanai City, HI 96763
- Phone
- (808) 876-4306
- Fax
- (808) 876-4387
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lanai Community HospitalCMS Care Compare ratings for the facility at the same street address
Other labs in Lanai City, HI
- Clinical Labs of Hawaii-Lanai Community HospitalCertificate of Compliance, Hospital12D0619602
- Lanai Community Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility12D2170764
- Lanai Community Health CenterCertificate of Waiver, Federally qualified health center12D1078523
- Lanai Kinaole IncCertificate of Waiver, Home health agency12D2197923
- Pol Straub Lanai Family Health CenterCertificate of Waiver, Community clinic12D0620105
Related
Questions
What is the CLIA number for Lanai Community Hospital in Lanai City?
12D2191304, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lanai Community Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2191304 expire?
The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.