12D1030908 CLIA NUMBER - SURGICAL SUITES, LLC,THE

Laboratory Demographics

  • CLIA Code: 12D1030908
  • Facility Name: SURGICAL SUITES, LLC,THE
  • Facility Address: 1100 WARD AVENUE, SUITE 1001
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: 808 531-0127
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TYRIE JENKINS
  • NPI Number: 1700644424
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 12D1030908
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL SUITES, LLC,THE
Street 1100 WARD AVENUE, SUITE 1001
City HONOLULU
State HI
ZIP 96814
Phone 808 531-0127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Ambulatory Surgery Center
Lab Director TYRIE JENKINS

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