12D2170987 CLIA NUMBER - EAST HAWAII HEALTH CLINIC AT 1285 WAIANUENUE

Laboratory Demographics

  • CLIA Code: 12D2170987
  • Facility Name: EAST HAWAII HEALTH CLINIC AT 1285 WAIANUENUE
  • Facility Address: 1285 WAIANUENUE AVE
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 932-3940
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ANDRE THERIAULT
  • NPI Number: 1164083374
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D2170987
LAB Type Rural Health Clinic
Facility Name EAST HAWAII HEALTH CLINIC AT 1285 WAIANUENUE
Street 1285 WAIANUENUE AVE
City HILO
State HI
ZIP 96720
Phone 808 932-3940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Rural Health Clinic
Lab Director ANDRE THERIAULT

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