CLIA lab
CLIA 12D2197607: Lihue Pharmacy Inc
Lihue, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2197607 belongs to Lihue Pharmacy Inc in Lihue, HI.
Certificate of Waiver, effective October 26, 2024, expires October 25, 2026.
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
- October 26, 2024
- Certificate expiration
- October 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2020
- Facility type
- Pharmacy
- 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
- 12D2197607
- Lab name
- Lihue Pharmacy Inc
- Address
- 4491 Kolopa St #a, Lihue, HI 96766
- Phone
- (808) 246-9100
- Fax
- (808) 246-9199
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.
Other labs in Lihue, HI
- American Medical Response KauaiCertificate of Waiver, Ambulance12D2266638
- Bayada Home CareCertificate of Waiver, Home health agency12D1008822
- Bridget Collins MD LLCCertificate of Waiver, Physician office12D2143128
- Charlie Y Sonido MD IncCertificate of Waiver, Physician office12D2102144
- Clinical Labs of Hawaii-Wilcox HospitalCertificate of Accreditation, Independent12D0619664
- Garden Isle Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility12D1027953
- Hawaii State Doh-Kauai District Health LaboratoryCertificate of Compliance, Public health laboratory12D0667781
- Hhsc Kauai Region Clinics the Clinic at LihueCertificate for Provider-Performed Microscopy Procedures, Rural health clinic12D2219411
- Kaiser Permanente Lihue Clinic LaboratoryCertificate of Waiver, Independent12D2099345
- Kaiser Permanente Lihue Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D2099344
Related
Questions
What is the CLIA number for Lihue Pharmacy Inc in Lihue?
12D2197607, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lihue Pharmacy Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2197607 expire?
The CMS file lists October 25, 2026 as the certificate expiration date; the certificate took effect October 26, 2024.