CLIA lab

CLIA 12D2349962: Kauai Home Care LLC

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

CLIA number 12D2349962 belongs to Kauai Home Care LLC in Kapaa, HI.

Certificate of Waiver, effective August 31, 2026, expires August 30, 2028.

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
August 31, 2026
Certificate expiration
August 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 31, 2026
Facility type
Home health agency
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
12D2349962
Lab name
Kauai Home Care LLC
Address
4-831 Kuhio Highway Suite 372-A, Kapaa, HI 96746
Phone
(808) 300-4663

Annual test volume the lab reported

Waived tests
12

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

Affiliated CLIA numbers

Other labs in Kapaa, HI

Related

Questions

What is the CLIA number for Kauai Home Care LLC in Kapaa?

12D2349962, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kauai Home Care LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2349962 expire?

The CMS file lists August 30, 2028 as the certificate expiration date; the certificate took effect August 31, 2026.

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