CLIA lab

CLIA 12D0955563: Family Medicine Center

Hilo, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 12D0955563 belongs to Family Medicine Center in Hilo, HI.

Certificate of Waiver, effective January 4, 2025, expires January 3, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 1999
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
12D0955563
Lab name
Family Medicine Center
Address
615 Ponahawai St Suite #101, Hilo, HI 96720
Phone
(808) 933-9187
Fax
(808) 961-5905

Annual test volume the lab reported

Waived tests
207

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Hilo, HI

Related

Questions

What is the CLIA number for Family Medicine Center in Hilo?

12D0955563, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medicine Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D0955563 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.