12D2271391 CLIA NUMBER - USRC HILO LLC DBA US RENAL CARE HILO DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2271391
  • Facility Name: USRC HILO LLC DBA US RENAL CARE HILO DIALYSIS
  • Facility Address: 111 E PUAINAKO STREET, STE 655
    HILO, HI
    ZIP 96720
  • Facility Phone: 808 909-3996
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. STEPHANIE GILIBERT
  • NPI Number: 1366162588
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2271391
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC HILO LLC DBA US RENAL CARE HILO DIALYSIS
Street 111 E PUAINAKO STREET, STE 655
City HILO
State HI
ZIP 96720
Phone 808 909-3996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. STEPHANIE GILIBERT

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