CLIA lab
CLIA 12D0874244: Community Clinic of Maui Inc
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0874244 belongs to Community Clinic of Maui Inc in Wailuku, HI.
Certificate for Provider-Performed Microscopy Procedures, effective August 5, 2025, expires August 4, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 1993
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 12D0874244
- Lab name
- Community Clinic of Maui Inc
- Additional name
- DBA Malama I Ke Ola Health Center
- Address
- 1881 Nani St, Wailuku, HI 96793
- Phone
- (808) 872-4040
- Fax
- (808) 872-4064
Annual test volume the lab reported
- Waived tests
- 13,059
- Provider-performed microscopy tests
- 1,900
- Total
- 14,959
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
- 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
- Jeffrey H Chester DOCertificate of Waiver, Physician office12D2046004
Related
Questions
What is the CLIA number for Community Clinic of Maui Inc in Wailuku?
12D0874244, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Clinic of Maui Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D0874244 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.