CLIA lab
CLIA 12D2277827: DR Russell M Tom LLC
Aiea, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2277827 belongs to DR Russell M Tom LLC in Aiea, HI.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2023
- 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
- 12D2277827
- Lab name
- DR Russell M Tom LLC
- Address
- 98-1079 Moanalua Rd, Suite 350B, Aiea, HI 96701
- Phone
- (808) 487-2277
- Fax
- (808) 488-5582
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Aiea, HI
- Aiea Heights Senior LivingCertificate of Waiver, Assisted living facility12D1008666
- Aiea Pediatrics LLCCertificate of Waiver, Physician office12D1106574
- Aloha Vision ConsultantsCertificate of Waiver, Physician office12D2134096
- Aop of Hawaii, PA DBA Hawaii Cancer Care AieaCertificate of Accreditation, Physician office12D1022903
- Children's Medical Associates, IncCertificate of Waiver, Physician office12D0618761
- Clinical Labs of Hawaii-Aiea HeightsCertificate of Accreditation, Independent12D0664165
- Clinical Labs of Hawaii-Pali Momi Medical CenterCertificate of Accreditation, Independent12D0618787
- Clinical Labs of Hawaii-Straub PearlridgeCertificate of Waiver, Ancillary test site12D0662961
- Craig Y Hamasaki, MDCertificate of Waiver, Physician office12D1001838
- Daniel M Harada MDCertificate of Waiver, Physician office12D1098707
Related
Questions
What is the CLIA number for DR Russell M Tom LLC in Aiea?
12D2277827, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Russell M Tom LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2277827 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.