CLIA lab

CLIA 12D2274449: Outreach Medical Group Downtown, LLC

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

CLIA number 12D2274449 belongs to Outreach Medical Group Downtown, LLC in Honolulu, HI.

Certificate of Waiver, effective January 4, 2025, expires January 3, 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 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2023
Facility type
Other practitioner
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
12D2274449
Lab name
Outreach Medical Group Downtown, LLC
Address
928 Nuuanu Ave #1-C, Honolulu, HI 96817
Phone
(808) 845-5550
Fax
(808) 845-5557

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.

Affiliated CLIA numbers

Other labs in Honolulu, HI

Related

Questions

What is the CLIA number for Outreach Medical Group Downtown, LLC in Honolulu?

12D2274449, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Outreach Medical Group Downtown, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2274449 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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