12D2278281 CLIA NUMBER - ANN C BREWER MD INC DBA MAUI SKIN CLINIC

Laboratory Demographics

  • CLIA Code: 12D2278281
  • Facility Name: ANN C BREWER MD INC DBA MAUI SKIN CLINIC
  • Facility Address: 30 KUPAOA ST A208
    MAKAWAO, HI
    ZIP 96768
  • Facility Phone: 808 207-6563
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANN C. BREWER
  • NPI Number: 1376280669
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D2278281
LAB Type Physician Office
Facility Name ANN C BREWER MD INC DBA MAUI SKIN CLINIC
Street 30 KUPAOA ST A208
City MAKAWAO
State HI
ZIP 96768
Phone 808 207-6563
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director DR. ANN C. BREWER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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