CLIA lab
CLIA 12D2211264: Kahuku Medical Center Haleiwa
Haleiwa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2211264 belongs to Kahuku Medical Center Haleiwa in Haleiwa, HI.
Certificate of Waiver, effective January 26, 2025, expires January 25, 2027.
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
- January 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2021
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- 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
- 12D2211264
- Lab name
- Kahuku Medical Center Haleiwa
- Address
- 66-632 Kamehameha Highway, Haleiwa, HI 96712
- Phone
- (808) 293-9221
- Fax
- (808) 293-4497
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Haleiwa, HI
Related
Questions
What is the CLIA number for Kahuku Medical Center Haleiwa in Haleiwa?
12D2211264, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kahuku Medical Center Haleiwa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2211264 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.