CLIA lab
CLIA 12D2191734: Liberty Dialysis Hawaii - Waianae Coast Nanakuli
Waianae, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2191734 belongs to Liberty Dialysis Hawaii - Waianae Coast Nanakuli in Waianae, HI.
Certificate of Waiver, effective August 31, 2026, expires August 30, 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 31, 2026
- Certificate expiration
- August 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2020
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2191734
- Lab name
- Liberty Dialysis Hawaii - Waianae Coast Nanakuli
- Address
- 89-102 Farrington Hwy, Waianae, HI 96792
- Phone
- (808) 380-0626
- Fax
- (808) 628-4078
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Liberty Waianae Coast NanakuliCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Waianae, HI
- Diagnostic Laboratory Services-Wcc CTRCertificate of Compliance, Independent12D2278175
- Liberty Dialysis-Hawaii Llc-Waianae DialysisCertificate of Waiver, End stage renal disease dialysis facility12D1051946
- Puuwai O MakahaCertificate of Waiver, Skilled nursing or nursing facility12D0619861
- Usrc Waianae, LLCCertificate of Waiver, End stage renal disease dialysis facility12D2205055
- Wcchc-ClinicsCertificate for Provider-Performed Microscopy Procedures, Community clinic12D0726414
- Wcchc-James & Abigail Campbell Nanakuli ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic12D1063980
- Wcchc-Nanakuli High & Intermediate SchoolCertificate of Waiver, School or student health service12D2163498
- Wcchc-Waianae High SchoolCertificate of Waiver, Other12D2106898
- Wcchc-Waianae Intermediate SchoolCertificate of Waiver, Other12D2106899
- Wcchc-Waiola Kwic ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D1015411
Related
Questions
What is the CLIA number for Liberty Dialysis Hawaii - Waianae Coast Nanakuli in Waianae?
12D2191734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Dialysis Hawaii - Waianae Coast Nanakuli hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2191734 expire?
The CMS file lists August 30, 2028 as the certificate expiration date; the certificate took effect August 31, 2026.