CLIA lab

CLIA 12D1101501: Malama Pono Health Services

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

CLIA number 12D1101501 belongs to Malama Pono Health Services in Lihue, HI.

Certificate of Waiver, effective June 26, 2025, expires June 25, 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 Waiver
Certificate effective
June 26, 2025
Certificate expiration
June 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 26, 2009
Facility type
Other
Ownership (control type)
Private
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
12D1101501
Lab name
Malama Pono Health Services
Address
4370 Kukui Grove St Suite 3-115, Lihue, HI 96766
Phone
(808) 246-9577
Fax
(808) 246-9588

Annual test volume the lab reported

Waived tests
150

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

Other labs in Lihue, HI

Related

Questions

What is the CLIA number for Malama Pono Health Services in Lihue?

12D1101501, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Malama Pono Health Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D1101501 expire?

The CMS file lists June 25, 2027 as the certificate expiration date; the certificate took effect June 26, 2025.

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