12D0978879 CLIA NUMBER - HILO COMMUNITY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 12D0978879
  • Facility Name: HILO COMMUNITY SURGERY CENTER
  • Facility Address: 82 PUUHONU PL, #100
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 969-9669
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL GERBER
  • NPI Number: 1891759601
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D0978879
LAB Type Ambulatory Surgery Center
Facility Name HILO COMMUNITY SURGERY CENTER
Street 82 PUUHONU PL, #100
City HILO
State HI
ZIP 96720
Phone 808 969-9669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. RANDALL GERBER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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