CLIA lab
CLIA 12D2191496: Island Kidney Care
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2191496 belongs to Island Kidney Care in Wailuku, HI.
Certificate for Provider-Performed Microscopy Procedures, effective August 27, 2026, expires August 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 27, 2026
- Certificate expiration
- August 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2020
- Facility type
- Physician office
- 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
- 12D2191496
- Lab name
- Island Kidney Care
- Address
- 105 Maui Lani Parkway, Suite 100, Wailuku, HI 96793
- Phone
- (808) 442-7777
- Fax
- (808) 442-7778
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wailuku, HI
- Aloha Eye Clinic LTDCertificate of Waiver, Physician office12D2041596
- Aloha Eye Clinic Surgical Center LLCCertificate of Waiver, Ambulatory surgery center12D2099438
- BCP Inc DBA Bayada Home Health CareCertificate of Waiver, Home health agency12D1008823
- Bayada Home CareCertificate of Waiver, Home health agency12D2070546
- Clinical Labs of Hawaii-Maui Memorial HospitalCertificate of Accreditation, Hospital12D0619972
- Community Clinic of Maui IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D0874244
- Hale Makua Health Services WailukuCertificate of Waiver, Skilled nursing or nursing facility12D0679391
- Hawaii State Doh-Maui District Health LaboratoryCertificate of Compliance, Public health laboratory12D0667779
- Hui No Ke Ola Pono, IncCertificate for Provider-Performed Microscopy Procedures, Other12D0887798
- Jeffrey H Chester DOCertificate of Waiver, Physician office12D2046004
Related
Questions
What is the CLIA number for Island Kidney Care in Wailuku?
12D2191496, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Island Kidney Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D2191496 expire?
The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.