CLIA lab
CLIA 12D2292478: Champs Pediatrics LLC
Kahului, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2292478 belongs to Champs Pediatrics LLC in Kahului, HI.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2023
- 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
- 12D2292478
- Lab name
- Champs Pediatrics LLC
- Address
- 53 South Puunene Avenue, Suite 136, Kahului, HI 96732
- Phone
- (808) 495-9616
- Fax
- (808) 446-7200
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kahului, HI
- Aloha Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center12D0960118
- American Medical Response MauiCertificate of Waiver, Ambulance12D2266524
- Colleen Inouye MD Frank Baum MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office12D0676099
- Crscp Maui, Inc DBA Eyesight Hawaii-MauiCertificate of Waiver, Physician office12D2239647
- Hale Makua KahuluiCertificate of Waiver, Skilled nursing or nursing facility12D0678725
- Kevin Kato MD IncCertificate of Waiver, Physician office12D2010105
- Maui CbocCertificate of Accreditation, Community clinic12D1043403
- Maui Medical GroupCertificate of Compliance, Physician office12D2083297
- Maui Medical GroupCertificate of Waiver, Other12D2109890
- Ohana Urgent CareCertificate of Waiver, Physician office12D2336488
Related
Questions
What is the CLIA number for Champs Pediatrics LLC in Kahului?
12D2292478, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Champs Pediatrics LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2292478 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.