12D1085249 CLIA NUMBER - MAUI AIDS FOUNDATION

Laboratory Demographics

  • CLIA Code: 12D1085249
  • Facility Name: MAUI AIDS FOUNDATION
  • Facility Address: 1935 MAIN ST SUITE 101
    WAILUKU, HI
    ZIP 96793
  • Facility Phone: 808 242-4900
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: MANA SHAW-RODRIGUEZ
  • NPI Number: 1295184752
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 12D1085249
LAB Type Health Main. Organization
Facility Name MAUI AIDS FOUNDATION
Street 1935 MAIN ST SUITE 101
City WAILUKU
State HI
ZIP 96793
Phone 808 242-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Health Main. Organization
Lab Director MANA SHAW-RODRIGUEZ

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This page was last updated on: 9/29/2025