CLIA lab

CLIA 12D2197923: Lanai Kinaole Inc

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

CLIA number 12D2197923 belongs to Lanai Kinaole Inc in Lanai City, HI.

Certificate of Waiver, effective October 28, 2024, expires October 27, 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 28, 2024
Certificate expiration
October 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2020
Facility type
Home health agency
Ownership (control type)
Private
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
12D2197923
Lab name
Lanai Kinaole Inc
Address
617 Ilima Ave, Lanai City, HI 96763
Phone
(808) 565-8001
Fax
(808) 565-8185

Annual test volume the lab reported

Waived tests
100

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

Other labs in Lanai City, HI

Related

Questions

What is the CLIA number for Lanai Kinaole Inc in Lanai City?

12D2197923, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lanai Kinaole Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2197923 expire?

The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.

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