CLIA lab
CLIA 12D1104117: Maui Medical Group Kihei
Kihei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1104117 belongs to Maui Medical Group Kihei in Kihei, HI.
Certificate for Provider-Performed Microscopy Procedures, effective August 25, 2025, expires August 24, 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 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2009
- 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
- 12D1104117
- Lab name
- Maui Medical Group Kihei
- Address
- 2349 S Kihei Rd Unit D, Kihei, HI 96753
- Phone
- (808) 270-1528
- Fax
- (808) 270-1527
Annual test volume the lab reported
- Waived tests
- 923
- Provider-performed microscopy tests
- 52
- Total
- 975
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
- Kenny R Malott MD IncCertificate of Compliance, Physician office12D0881550
- Kihei Wailea Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office12D0619545
- Makena HealthCertificate of Waiver, Physician office12D2274305
- Maui Wellness Medical CenterCertificate of Waiver, Physician office12D2223185
Related
Questions
What is the CLIA number for Maui Medical Group Kihei in Kihei?
12D1104117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maui Medical Group Kihei hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D1104117 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.