CLIA lab
CLIA 12D2316602: Ivey Plastic Surgery
Kihei, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2316602 belongs to Ivey Plastic Surgery in Kihei, HI.
Certificate of Waiver, effective January 8, 2025, expires January 7, 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
- January 8, 2025
- Certificate expiration
- January 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2025
- Facility type
- Ambulatory surgery center
- 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
- 12D2316602
- Lab name
- Ivey Plastic Surgery
- Address
- 411 Huku Lii Pl, Suite 303, Kihei, HI 96753
- Phone
- (808) 500-5146
- Fax
- (808) 500-5140
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 Kihei, HI
- Amy Reisenauer MD LLCCertificate of Compliance, Physician office12D2134265
- Doctors on Call WaileaCertificate of Waiver, Physician office12D2271548
- Hawaii Dermatopathology LLCCertificate of Compliance, Physician office12D2120536
- Kaiser Permanente Kihei Clinic LaboratoryCertificate of Waiver, Independent12D0937690
- Kaiser Permanente Kihei Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Health maintenance organization12D0954546
- Kenny R Malott MD IncCertificate of Compliance, Physician office12D0881550
- Kihei Wailea Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office12D0619545
- Makena HealthCertificate of Waiver, Physician office12D2274305
- Maui Medical Group KiheiCertificate for Provider-Performed Microscopy Procedures, Other12D1104117
- Maui Wellness Medical CenterCertificate of Waiver, Physician office12D2223185
Related
Questions
What is the CLIA number for Ivey Plastic Surgery in Kihei?
12D2316602, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivey Plastic Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2316602 expire?
The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.