12D2087586 CLIA NUMBER - RAINBOW DIALYSIS LAHAINA

Laboratory Demographics

  • CLIA Code: 12D2087586
  • Facility Name: RAINBOW DIALYSIS LAHAINA
  • Facility Address: 305 KEAWE ST SUITE 503
    LAHAINA, HI
    ZIP 96761
  • Facility Phone: (808) 661-8372
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARY KINGMA-NOLAND
  • NPI Number: 1619381399
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2087586
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RAINBOW DIALYSIS LAHAINA
Street 305 KEAWE ST SUITE 503
City LAHAINA
State HI
ZIP 96761
Phone 8086618372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MARY KINGMA-NOLAND

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This page was last updated on: 5/18/2026