CLIA lab
CLIA 12D2205892: Kailua Family Pharmacy, LLC
Kailua, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2205892 belongs to Kailua Family Pharmacy, LLC in Kailua, HI.
Certificate of Waiver, 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 Waiver
- Certificate effective
- December 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2020
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- 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
- 12D2205892
- Lab name
- Kailua Family Pharmacy, LLC
- Additional name
- DBA Elixrx
- Address
- 1090 Keolu Dr #112, Kailua, HI 96734
- Phone
- (808) 260-9894
- Fax
- (808) 260-9957
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 Kailua, HI
- Adventist Health Castle Laboratory Svcs DeptCertificate of Accreditation, Hospital12D0690886
- Ahcs-Pali Womens Health CenterCertificate of Waiver, Other12D0999864
- Aloha Pain Sports and Spine Medicine LLCCertificate of Waiver, Physician office12D2020639
- Amy B Harpstrite, MD LLCCertificate of Waiver, Physician office12D1010016
- Braun Urgent Care Kailua LLCCertificate of Waiver, Community clinic12D0962392
- Castle Physician NetworkCertificate of Waiver, Other12D2253717
- Castle Primary Care of KailuaCertificate of Waiver, Other12D2106176
- Clinical Labs of Hawaii- Straub KailuaCertificate of Waiver, Ancillary test site12D0662962
- Dale E Adams MDCertificate of Waiver, Physician office12D0619162
- Eesha Bhattacharyya MDCertificate for Provider-Performed Microscopy Procedures, Physician office12D1045309
Related
Questions
What is the CLIA number for Kailua Family Pharmacy, LLC in Kailua?
12D2205892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kailua Family Pharmacy, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2205892 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.