12D1095910 CLIA NUMBER - WINDWARD SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 12D1095910
  • Facility Name: WINDWARD SURGERY CENTER
  • Facility Address: 642 ULUKAHIKI ST SUITE 200
    KAILUA, HI
    ZIP 96734
  • Facility Phone: 808 218-6850
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE NARDIN
  • NPI Number: 1982078846
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 12D1095910
LAB Type Ambulatory Surgery Center
Facility Name WINDWARD SURGERY CENTER
Street 642 ULUKAHIKI ST SUITE 200
City KAILUA
State HI
ZIP 96734
Phone 808 218-6850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. GEORGE NARDIN

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