CLIA lab
CLIA 12D2170676: Liberty Dialysis - Hawaii LLC - Hilo Dialysis
Hilo, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2170676 belongs to Liberty Dialysis - Hawaii LLC - Hilo Dialysis in Hilo, HI.
Certificate of Waiver, effective August 15, 2025, expires August 14, 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
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 2019
- Facility type
- End stage renal disease dialysis 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
- 12D2170676
- Lab name
- Liberty Dialysis - Hawaii LLC - Hilo Dialysis
- Address
- 1384 Kinoole Street, Hilo, HI 96720
- Phone
- (808) 935-3422
- Fax
- (808) 934-7901
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Liberty Dialysis - Hawaii LLC - Hilo Dialysis in Hilo?
12D2170676, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Dialysis - Hawaii LLC - Hilo Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2170676 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.