CLIA lab

CLIA 12D2240622: Queen's Women's Health Pob 1 1004

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

CLIA number 12D2240622 belongs to Queen's Women's Health Pob 1 1004 in Honolulu, HI.

Certificate for Provider-Performed Microscopy Procedures, effective October 20, 2025, expires October 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
October 20, 2025
Certificate expiration
October 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 2021
Facility type
Community clinic
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
12D2240622
Lab name
Queen's Women's Health Pob 1 1004
Address
1380 Lusitana Street Suite 1004, Honolulu, HI 96813
Phone
(808) 686-4690
Fax
(808) 686-2127

Annual test volume the lab reported

Waived tests
50
Provider-performed microscopy tests
50
Total
100

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

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Questions

What is the CLIA number for Queen's Women's Health Pob 1 1004 in Honolulu?

12D2240622, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Queen's Women's Health Pob 1 1004 hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 12D2240622 expire?

The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.

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