CLIA lab
CLIA 12D2235207: Kukui Lifestyle Medicine Clinic
Captain Cook, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2235207 belongs to Kukui Lifestyle Medicine Clinic in Captain Cook, HI.
Certificate of Waiver, effective September 7, 2025, expires September 6, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 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
- 12D2235207
- Lab name
- Kukui Lifestyle Medicine Clinic
- Address
- 82-6066 Mamalahoa Hwy, Ste 14, Captain Cook, HI 96704
- Phone
- (808) 825-6557
- Fax
- (808) 731-6511
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Kukui Lifestyle Medicine Clinic in Captain Cook?
12D2235207, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kukui Lifestyle Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2235207 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.