CLIA lab

CLIA 12D2195469: Hale Ku'ike Bayside, LLC

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

CLIA number 12D2195469 belongs to Hale Ku'ike Bayside, LLC in Kaneohe, HI.

Certificate of Waiver, effective October 8, 2024, expiration date October 7, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 8, 2024
Certificate expiration
October 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 8, 2020
Facility type
Other
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
12D2195469
Lab name
Hale Ku'ike Bayside, LLC
Address
45-212 Kaneohe Bay Drive, Kaneohe, HI 96744
Phone
(808) 235-6770
Fax
(808) 235-6776

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 Kaneohe, HI

Related

Questions

What is the CLIA number for Hale Ku'ike Bayside, LLC in Kaneohe?

12D2195469, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hale Ku'ike Bayside, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2195469 expire?

The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.

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