CLIA lab
CLIA 12D2102822: Hilo SNF Fka Legacy of Hilo
Hilo, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2102822 belongs to Hilo SNF Fka Legacy of Hilo in Hilo, HI.
Certificate of Waiver, effective September 29, 2025, expires September 28, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2015
- Facility type
- Skilled nursing or nursing facility
- 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
- 12D2102822
- Lab name
- Hilo SNF Fka Legacy of Hilo
- Address
- 563 Kaumana Drive, Hilo, HI 96720
- Phone
- (808) 498-0100
Annual test volume the lab reported
- Waived tests
- 30,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Legacy Hilo Rehabilitation & Nursing CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Hilo, HI
- Aaron H Morita MD Facp IncCertificate for Provider-Performed Microscopy Procedures, Physician office12D0688878
- Aloha Nui DPC, LLCCertificate of Waiver, Physician office12D1070138
- American Medical Response Island of HawaiiCertificate of Waiver, Ambulance12D2266521
- BCP Inc DBA Bayada Home Health Care IncCertificate of Waiver, Home health agency12D1078525
- Barnes-Hunt IncCertificate of Waiver, Physician office12D1023675
- Bayada Home CareCertificate of Waiver, Home health agency12D2142126
- Big Island DermatologyCertificate of Compliance, Physician office12D1029385
- Big Island HealthcareCertificate of Waiver, Community clinic12D2281486
- Brenda M K Camacho, MDCertificate of Waiver, Physician office12D0618916
- Care Cottage HiloCertificate of Waiver, Other12D1079402
Related
Questions
What is the CLIA number for Hilo SNF Fka Legacy of Hilo in Hilo?
12D2102822, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hilo SNF Fka Legacy of Hilo hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2102822 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.