CLIA lab
CLIA 12D2205055: Usrc Waianae, LLC
Waianae, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2205055 belongs to Usrc Waianae, LLC in Waianae, HI.
Certificate of Waiver, effective December 11, 2024, expires December 10, 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
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2020
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2205055
- Lab name
- Usrc Waianae, LLC
- Additional name
- DBA US Renal Care Waianae Dialysis
- Address
- 86-120 Farrington Hwy, Ste B211, Waianae, HI 96792
- Phone
- (808) 664-8350
- Fax
- (808) 664-8335
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- USRC Waianae DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Waianae, HI
- Diagnostic Laboratory Services-Wcc CTRCertificate of Compliance, Independent12D2278175
- Liberty Dialysis Hawaii - Waianae Coast NanakuliCertificate of Waiver, End stage renal disease dialysis facility12D2191734
- Liberty Dialysis-Hawaii Llc-Waianae DialysisCertificate of Waiver, End stage renal disease dialysis facility12D1051946
- Puuwai O MakahaCertificate of Waiver, Skilled nursing or nursing facility12D0619861
- Wcchc-ClinicsCertificate for Provider-Performed Microscopy Procedures, Community clinic12D0726414
- Wcchc-James & Abigail Campbell Nanakuli ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic12D1063980
- Wcchc-Nanakuli High & Intermediate SchoolCertificate of Waiver, School or student health service12D2163498
- Wcchc-Waianae High SchoolCertificate of Waiver, Other12D2106898
- Wcchc-Waianae Intermediate SchoolCertificate of Waiver, Other12D2106899
- Wcchc-Waiola Kwic ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D1015411
Related
Questions
What is the CLIA number for Usrc Waianae, LLC in Waianae?
12D2205055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Usrc Waianae, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2205055 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.