12D2176572 CLIA NUMBER - HILO BENIOFF MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 12D2176572
  • Facility Name: HILO BENIOFF MEDICAL CENTER
  • Facility Address: 1190 WAIANUENUE AVE ATTN BEN TODD, POCT COORD, EAST HI REGION, HHSC
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 932-3000
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDRE G. THERIAULT
  • NPI Number: 1780757856
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D2176572
LAB Type Hospital
Facility Name HILO BENIOFF MEDICAL CENTER
Street 1190 WAIANUENUE AVE ATTN BEN TODD, POCT COORD, EAST HI REGION, HHSC
City HILO
State HI
ZIP 96720
Phone 808 932-3000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Hospital
Lab Director ANDRE G. 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