CLIA lab

CLIA 12D2188634: Mastercare, Inc

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

CLIA number 12D2188634 belongs to Mastercare, Inc in Wailuku, HI.

Certificate of Waiver, effective July 20, 2026, expires July 19, 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
July 20, 2026
Certificate expiration
July 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 20, 2020
Facility type
Home health agency
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
12D2188634
Lab name
Mastercare, Inc
Address
210 Imi Kala Street, Ste 208, Wailuku, HI 96793
Phone
(808) 244-0500
Fax
(808) 255-0557

Annual test volume the lab reported

Waived tests
100

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

Other labs in Wailuku, HI

Related

Questions

What is the CLIA number for Mastercare, Inc in Wailuku?

12D2188634, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mastercare, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2188634 expire?

The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.

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