12D0960118 CLIA NUMBER - ALOHA SURGICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 12D0960118

Facility Name: ALOHA SURGICAL CENTER, LLC

Facility Address:
239 HOOHANA ST
KAHULUI, HI
ZIP 96732
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Facility Phone Number: 808 893-0578

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1114985611

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	12D0960118
LAB Type	Ambulatory Surgery Center
Facility Name	ALOHA SURGICAL CENTER, LLC
Street	239 HOOHANA ST
City	KAHULUI
State	HI
ZIP	96732
Phone	808 893-0578
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024