CLIA lab
CLIA 12D2109890: Maui Medical Group
Kahului, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2109890 belongs to Maui Medical Group in Kahului, HI.
Certificate of Waiver, effective March 3, 2026, expires March 2, 2028.
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
- March 3, 2026
- Certificate expiration
- March 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 2016
- 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
- 12D2109890
- Lab name
- Maui Medical Group
- Address
- 110 Kaahumanu Ave, Kahului, HI 96732
- Phone
- (808) 758-3844
- Fax
- (808) 984-7439
Annual test volume the lab reported
- Waived tests
- 923
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kahului, HI
- Aloha Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center12D0960118
- American Medical Response MauiCertificate of Waiver, Ambulance12D2266524
- Champs Pediatrics LLCCertificate of Waiver, Physician office12D2292478
- Colleen Inouye MD Frank Baum MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office12D0676099
- Crscp Maui, Inc DBA Eyesight Hawaii-MauiCertificate of Waiver, Physician office12D2239647
- Hale Makua KahuluiCertificate of Waiver, Skilled nursing or nursing facility12D0678725
- Kevin Kato MD IncCertificate of Waiver, Physician office12D2010105
- Maui CbocCertificate of Accreditation, Community clinic12D1043403
- Maui Medical GroupCertificate of Compliance, Physician office12D2083297
- Ohana Urgent CareCertificate of Waiver, Physician office12D2336488
Related
Questions
What is the CLIA number for Maui Medical Group in Kahului?
12D2109890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maui Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2109890 expire?
The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.