CLIA lab
CLIA 12D2302206: Mango Medical
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2302206 belongs to Mango Medical in Kamuela, HI.
Certificate of Waiver, effective April 5, 2026, expires April 4, 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
- April 5, 2026
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 2024
- Facility type
- Other
- 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
- 12D2302206
- Lab name
- Mango Medical
- Address
- 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743
- Phone
- (808) 769-5010
- Fax
- (808) 829-3603
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kamuela, HI
- Diagnostic Laboratory Services-Queens Nhi HospCertificate of Accreditation, Independent12D2077899
- Diagnostic Laboratory Svcs-Qmc North Hi Path LabCertificate of Accreditation, Hospital12D2096714
- Five Mountains Hawaii Inc DBA Kipuka O Ke OlaCertificate of Waiver, Rural health clinic12D2125620
- Kaiser Permanente Waimea Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Physician office12D0911714
- Kamuela Medical Associates IncCertificate of Waiver, Physician office12D0692936
- Kohala Coast Urgent CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2265189
- Kona Center of Facial SurgeryCertificate of Waiver, Other practitioner12D2198504
- Kta Kamuela PharmacyCertificate of Waiver, Pharmacy12D2237338
- Liberty Dialysis North Hawaii LLCCertificate of Waiver, End stage renal disease dialysis facility12D1086382
- Paniolo Pediatric and Family Medicine, IncCertificate of Waiver, Physician office12D2097582
Related
Questions
What is the CLIA number for Mango Medical in Kamuela?
12D2302206, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mango Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2302206 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 5, 2026.