CLIA lab
CLIA 12D2204353: Kaiser Permanente West Oahu Medical Ofc Lab
Kapolei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2204353 belongs to Kaiser Permanente West Oahu Medical Ofc Lab in Kapolei, HI.
Certificate of Compliance, effective December 16, 2024, expires December 15, 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 Compliance
- Certificate effective
- December 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 2020
- Facility type
- Independent
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 12
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2204353
- Lab name
- Kaiser Permanente West Oahu Medical Ofc Lab
- Address
- 401 Kamokila Blvd, Kapolei, HI 96707
- Phone
- (808) 432-3668
- Fax
- (808) 432-3675
Annual test volume the lab reported
- Waived tests
- 6,820
- Other nonwaived tests
- 55,770
- Total
- 62,590
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kapolei, HI
- Ahcs-Pali Women's Health CenterCertificate of Waiver, Physician office12D2290075
- Blood Bank of HawaiiCertificate of Accreditation, Blood bank12D0621292
- Castle Physician NetworkCertificate of Waiver, Other12D2253712
- Complete Dermatology LLC KapoleiCertificate for Provider-Performed Microscopy Procedures, Physician office12D2081587
- Daniel K Akaka State Veterans HomeCertificate of Waiver, Skilled nursing or nursing facility12D2316115
- Daniel K Akaka VA Multi Specialty ClinicCertificate of Accreditation, Community clinic12D2301531
- Family Doctor LLC, theCertificate of Waiver, Physician office12D2026896
- Ka Puna Wai OlaCertificate of Waiver, Skilled nursing or nursing facility12D0970226
- Kaiser Permanente West Oahu Med Ofc PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D2204356
- Kapolei Family Medical CenterCertificate of Waiver, Physician office12D2347137
Related
Questions
What is the CLIA number for Kaiser Permanente West Oahu Medical Ofc Lab in Kapolei?
12D2204353, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente West Oahu Medical Ofc Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D2204353 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.