CLIA lab
CLIA 12D2165270: Paniolo Pediatric and Family Medicine, Inc
Kamuela, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2165270 belongs to Paniolo Pediatric and Family Medicine, Inc in Kamuela, HI.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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 RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2165270
- Lab name
- Paniolo Pediatric and Family Medicine, Inc
- Address
- 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743
- Phone
- (808) 885-1878
- Fax
- (808) 887-6294
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kamuela, HI
- Diagnostic Laboratory Services-Queens Nhi HospCertificate of Accreditation, Independent12D2077899
- Diagnostic Laboratory Svcs-Qmc North Hi Path LabCertificate of Accreditation, Hospital12D2096714
- Five Mountains Hawaii Inc DBA Kipuka O Ke OlaCertificate of Waiver, Rural health clinic12D2125620
- Kaiser Permanente Waimea Clinic PpmpCertificate for Provider-Performed Microscopy Procedures, Physician office12D0911714
- Kamuela Medical Associates IncCertificate of Waiver, Physician office12D0692936
- Kohala Coast Urgent CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2265189
- Kona Center of Facial SurgeryCertificate of Waiver, Other practitioner12D2198504
- Kta Kamuela PharmacyCertificate of Waiver, Pharmacy12D2237338
- Liberty Dialysis North Hawaii LLCCertificate of Waiver, End stage renal disease dialysis facility12D1086382
- Mango MedicalCertificate of Waiver, Other12D2302206
Related
Questions
What is the CLIA number for Paniolo Pediatric and Family Medicine, Inc in Kamuela?
12D2165270, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paniolo Pediatric and Family Medicine, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2165270 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.