12D2165643 CLIA NUMBER - RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE

Laboratory Demographics

  • CLIA Code: 12D2165643
  • Facility Name: RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE
  • Facility Address: 1325 S KIHEI ROAD SUITE 103
    KIHEI, HI
    ZIP 96753
  • Facility Phone: 808 667-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANE THAUT
  • NPI Number: 1982094652
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2165643
LAB Type Physician Office
Facility Name RP MEDICAL LLC DBA MINIT MEDICAL URGENT CARE
Street 1325 S KIHEI ROAD SUITE 103
City KIHEI
State HI
ZIP 96753
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 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director LANE THAUT

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