CLIA lab
CLIA 12D2120536: Hawaii Dermatopathology LLC
Kihei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2120536 belongs to Hawaii Dermatopathology LLC in Kihei, HI.
Certificate of Compliance, effective March 11, 2026, expires March 10, 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 Compliance
- Certificate effective
- March 11, 2026
- Certificate expiration
- March 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2120536
- Lab name
- Hawaii Dermatopathology LLC
- Address
- 1300 N Holopono St #214, Kihei, HI 96753
- Phone
- (808) 874-3446
- Fax
- (808) 874-3445
Annual test volume the lab reported
- Other nonwaived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kihei, HI
- Amy Reisenauer MD LLCCertificate of Compliance, Physician office12D2134265
- Doctors on Call WaileaCertificate of Waiver, Physician office12D2271548
- 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 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 Hawaii Dermatopathology LLC in Kihei?
12D2120536, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hawaii Dermatopathology LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D2120536 expire?
The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.