CLIA lab
CLIA 12D2322685: Pacific Vascular Institute Kona
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2322685 belongs to Pacific Vascular Institute Kona in Wailuku, HI.
Certificate of Waiver, effective April 24, 2025, expires April 23, 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
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 2025
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2322685
- Lab name
- Pacific Vascular Institute Kona
- Address
- 71 Kanoa Street, Suite 201, Wailuku, HI 96793
- Phone
- (808) 727-8346
- Fax
- (808) 727-8311
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wailuku, HI
- Aloha Eye Clinic LTDCertificate of Waiver, Physician office12D2041596
- Aloha Eye Clinic Surgical Center LLCCertificate of Waiver, Ambulatory surgery center12D2099438
- BCP Inc DBA Bayada Home Health CareCertificate of Waiver, Home health agency12D1008823
- Bayada Home CareCertificate of Waiver, Home health agency12D2070546
- Clinical Labs of Hawaii-Maui Memorial HospitalCertificate of Accreditation, Hospital12D0619972
- Community Clinic of Maui IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D0874244
- Hale Makua Health Services WailukuCertificate of Waiver, Skilled nursing or nursing facility12D0679391
- Hawaii State Doh-Maui District Health LaboratoryCertificate of Compliance, Public health laboratory12D0667779
- Hui No Ke Ola Pono, IncCertificate for Provider-Performed Microscopy Procedures, Other12D0887798
- Island Kidney CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2191496
Related
Questions
What is the CLIA number for Pacific Vascular Institute Kona in Wailuku?
12D2322685, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Vascular Institute Kona hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2322685 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.