12D2134099 CLIA NUMBER - RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE

Laboratory Demographics

  • CLIA Code: 12D2134099
  • Facility Name: RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE
  • Facility Address: 2580 KEKAA DRIVE SUITE 111
    LAHAINA, HI
    ZIP 96761
  • Facility Phone: 808 667-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LANE THAUT
  • NPI Number: 1962968248
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2134099
LAB Type Physician Office
Facility Name RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE
Street 2580 KEKAA DRIVE SUITE 111
City LAHAINA
State HI
ZIP 96761
Phone 808 667-6161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director DR. LANE THAUT

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