HAWAII DERMATOPATHOLOGY LLC
NPI 1780120709
Clinical Medical Laboratory in Kihei, HI

Active since January 13, 2017CLIA 12D2120536 · Certificate of Compliance
1300 N HOLOPONO ST STE 214, KIHEI, HI 96753(808) 874-3444 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

About Hawaii Dermatopathology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAWAII DERMATOPATHOLOGY LLC (NPI 1780120709) is a healthcare organization registered as a clinical medical laboratory in Kihei, Hawaii and active in the NPI registry since January 2017. The organization holds a CLIA Certificate of Compliance certificate valid through March 10, 2028 and lists Amy Kersten Reisenauer, Lab Director/owner, as its authorized official.

NPPES Registry Identity

NPI1780120709
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameHAWAII DERMATOPATHOLOGY LLC
Location Address1300 N HOLOPONO ST STE 214Kihei, HI 96753-6945
Mailing Address1300 N Holopono St Ste 214Kihei, HI 96753-6945 · (808) 874-3444
Organization SubpartNo
Authorized OfficialAmy Kersten ReisenauerLab Director/owner · (808) 264-2293
Enumeration DateJanuary 13, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1780120709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in HI · 12D2120536
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1300 N HOLOPONO ST STE 214, Kihei, HI 96753

Other Identifiers 1

Other12D2120536HI · Clia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 12D2120536

Hawaii Dermatopathology LLC · Kihei, HI
Active · expires Mar 10, 2028
CLIA Number12D2120536
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorAmy K. Reisenauer
Laboratory Phone(808) 874-3446
Laboratory LocationHawaii Dermatopathology LLC1300 N Holopono St #214, Kihei, HI 96753
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hawaii Dermatopathology LLC's NPI number?

The NPI number for Hawaii Dermatopathology LLC is 1780120709. It was assigned to this organization in the NPPES registry on January 13, 2017.

Where is Hawaii Dermatopathology LLC located?

Hawaii Dermatopathology LLC is located at 1300 N Holopono St Ste 214, Kihei, HI 96753. The listed phone number is (808) 874-3444.

What is Hawaii Dermatopathology LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Hawaii Dermatopathology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 12D2120536) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hawaii Dermatopathology LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.