CLIA lab
CLIA 12D2209059: Poipu MD LLC
Koloa, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2209059 belongs to Poipu MD LLC in Koloa, HI.
Certificate of Waiver, effective January 11, 2025, expires January 10, 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 of Waiver
- Certificate effective
- January 11, 2025
- Certificate expiration
- January 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 2021
- 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
- 12D2209059
- Lab name
- Poipu MD LLC
- Address
- 2585 Waho St, Koloa, HI 96756
- Phone
- (808) 652-7021
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Koloa, HI
Related
Questions
What is the CLIA number for Poipu MD LLC in Koloa?
12D2209059, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Poipu MD LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2209059 expire?
The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.