CLIA lab
CLIA 12D1031667: Kaiser Permanente Maui Lani Medical Office Lab
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1031667 belongs to Kaiser Permanente Maui Lani Medical Office Lab in Wailuku, HI.
Certificate of Compliance, effective April 28, 2025, expires April 27, 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 Compliance
- Certificate effective
- April 28, 2025
- Certificate expiration
- April 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2004
- Facility type
- Independent
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D1031667
- Lab name
- Kaiser Permanente Maui Lani Medical Office Lab
- Address
- 55 Maui Lani Parkway, Wailuku, HI 96793
- Phone
- (808) 243-6174
- Fax
- (808) 243-6183
Annual test volume the lab reported
- Waived tests
- 16,573
- Other nonwaived tests
- 166,062
- Total
- 182,635
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 Kaiser Permanente Maui Lani Medical Office Lab in Wailuku?
12D1031667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Maui Lani Medical Office Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D1031667 expire?
The CMS file lists April 27, 2027 as the certificate expiration date; the certificate took effect April 28, 2025.