CLIA lab
CLIA 12D0881550: Kenny R Malott MD Inc
Kihei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0881550 belongs to Kenny R Malott MD Inc in Kihei, HI.
Certificate of Compliance, effective June 22, 2025, expires June 21, 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 of Compliance
- Certificate effective
- June 22, 2025
- Certificate expiration
- June 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 1994
- Facility type
- Physician office
- 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
- 12D0881550
- Lab name
- Kenny R Malott MD Inc
- Address
- 375 Huku Lii Place, Ste 201, Kihei, HI 96753
- Phone
- (808) 875-7546
- Fax
- (808) 879-4585
Annual test volume the lab reported
- Other nonwaived tests
- 358
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kihei, HI
- Amy Reisenauer MD LLCCertificate of Compliance, Physician office12D2134265
- Doctors on Call WaileaCertificate of Waiver, Physician office12D2271548
- Hawaii Dermatopathology LLCCertificate of Compliance, Physician office12D2120536
- Ivey Plastic SurgeryCertificate of Waiver, Ambulatory surgery center12D2316602
- Kaiser Permanente Kihei Clinic LaboratoryCertificate of Waiver, Independent12D0937690
- Kaiser Permanente Kihei Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D0954546
- Kihei Wailea Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office12D0619545
- Makena HealthCertificate of Waiver, Physician office12D2274305
- Maui Medical Group KiheiCertificate for Provider-Performed Microscopy Procedures, Other12D1104117
- Maui Wellness Medical CenterCertificate of Waiver, Physician office12D2223185
Related
Questions
What is the CLIA number for Kenny R Malott MD Inc in Kihei?
12D0881550, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kenny R Malott MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D0881550 expire?
The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.