CLIA lab
CLIA 12D0871650: Maui Medical Group - Wailuku
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0871650 belongs to Maui Medical Group - Wailuku in Wailuku, HI.
Certificate for Provider-Performed Microscopy Procedures, effective June 4, 2025, expires June 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 4, 2025
- Certificate expiration
- June 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 1993
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 12D0871650
- Lab name
- Maui Medical Group - Wailuku
- Address
- 2180 Main St, Wailuku, HI 96793
- Phone
- (808) 758-3902
- Fax
- (808) 242-4252
Annual test volume the lab reported
- Waived tests
- 830
- Provider-performed microscopy tests
- 58
- Total
- 888
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Maui Medical Group - Wailuku in Wailuku?
12D0871650, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maui Medical Group - Wailuku hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D0871650 expire?
The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.