12D0685296 CLIA NUMBER - PACIFIC ENDOSCOPY CENTER LLC DBA THE ENDOSCOPY CENTER (TEC)

Laboratory Demographics

  • CLIA Code: 12D0685296
  • Facility Name: PACIFIC ENDOSCOPY CENTER LLC DBA THE ENDOSCOPY CENTER (TEC)
  • Facility Address: 134 PU'UHONU WAY
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 969-3979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY C. JAHRAUS
  • NPI Number: 1417377649
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0685296
LAB Type Physician Office
Facility Name PACIFIC ENDOSCOPY CENTER LLC DBA THE ENDOSCOPY CENTER (TEC)
Street 134 PU'UHONU WAY
City HILO
State HI
ZIP 96720
Phone 808 969-3979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TIMOTHY C. JAHRAUS

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This page was last updated on: 9/29/2025