CLIA lab

CLIA 12D2283633: Ka'u Wellness Llc-Shirakawa

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

CLIA number 12D2283633 belongs to Ka'u Wellness Llc-Shirakawa in Naalehu, HI.

Certificate for Provider-Performed Microscopy Procedures, effective December 19, 2025, expires December 18, 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
December 19, 2025
Certificate expiration
December 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
12D2283633
Lab name
Ka'u Wellness Llc-Shirakawa
Address
95-6040 Mamalahoa Hwy, Naalehu, HI 96772
Phone
(808) 939-8100
Fax
(808) 829-3672

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
25
Total
225

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

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Ka'u Wellness Llc-Shirakawa in Naalehu?

12D2283633, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ka'u Wellness Llc-Shirakawa hold?

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

When does CLIA 12D2283633 expire?

The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.

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