CLIA lab

CLIA 12D2269567: Pueo Family Medicine

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

CLIA number 12D2269567 belongs to Pueo Family Medicine in Makawao, HI.

Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 28, 2024
Certificate expiration
September 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2022
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
12D2269567
Lab name
Pueo Family Medicine
Address
1120A Makawao Ave, Makawao, HI 96768
Phone
(808) 573-2222
Fax
(808) 573-2224

Annual test volume the lab reported

Waived tests
600

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

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Related

Questions

What is the CLIA number for Pueo Family Medicine in Makawao?

12D2269567, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pueo Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 12D2269567 expire?

The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.

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