12D0679486 CLIA NUMBER - HONOLULU SURGERY CENTER LP DBA SURGICARE OF HAWAII

Laboratory Demographics

  • CLIA Code: 12D0679486
  • Facility Name: HONOLULU SURGERY CENTER LP DBA SURGICARE OF HAWAII
  • Facility Address: 500 ALA MOANA BLVD TOWER 1 SUITE1B
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 528-2511
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GARETH P. NAKASONE
  • NPI Number: 1952366874
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D0679486
LAB Type Ambulatory Surgery Center
Facility Name HONOLULU SURGERY CENTER LP DBA SURGICARE OF HAWAII
Street 500 ALA MOANA BLVD TOWER 1 SUITE1B
City HONOLULU
State HI
ZIP 96813
Phone 808 528-2511
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 Ambulatory Surgery Center
Lab Director DR. GARETH P. NAKASONE

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