CLIA lab

CLIA 12D2196483: 5 Minute Pharmacy Ala Moana LLC

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

CLIA number 12D2196483 belongs to 5 Minute Pharmacy Ala Moana LLC in Honolulu, HI.

Certificate of Waiver, effective October 16, 2024, expiration date October 15, 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 16, 2024
Certificate expiration
October 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 16, 2020
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
12D2196483
Lab name
5 Minute Pharmacy Ala Moana LLC
Address
725 Kapiolani Blvd Suite C-111, Honolulu, HI 96813
Phone
(808) 797-2905
Fax
(808) 946-5675

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Honolulu, HI

Related

Questions

What is the CLIA number for 5 Minute Pharmacy Ala Moana LLC in Honolulu?

12D2196483, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 5 Minute Pharmacy Ala Moana LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2196483 expire?

The CMS file lists October 15, 2026 as the certificate expiration date; the certificate took effect October 16, 2024.

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