CLIA lab
CLIA 12D2194274: Plaza at Pearl City, LP
Pearl City, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2194274 belongs to Plaza at Pearl City, LP in Pearl City, HI.
Certificate of Waiver, effective September 9, 2025, expires September 8, 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 9, 2025
- Certificate expiration
- September 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2020
- Facility type
- Assisted living 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
- 12D2194274
- Lab name
- Plaza at Pearl City, LP
- Address
- 1048 Kuala Street, Pearl City, HI 96782
- Phone
- (808) 455-8808
- Fax
- (808) 455-8818
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pearl City, HI
- Carlos B C Lam MDCertificate of Waiver, Physician office12D0692532
- Castle Physician NetworkCertificate of Waiver, Other12D2253716
- Hawaii State Doh-Hi State Laboratories DivisionCertificate of Compliance, Public health laboratory12D0646259
- Leeward Community College Health CenterCertificate of Waiver, School or student health service12D0970413
- Pacific Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center12D1073204
- Pearl City Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility12D0914311
- Pearl City Specialized Residential Svcs ProgramCertificate of Waiver, Other12D1079401
Related
Questions
What is the CLIA number for Plaza at Pearl City, LP in Pearl City?
12D2194274, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Plaza at Pearl City, LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2194274 expire?
The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.