12D2032174 CLIA NUMBER - PACIFIC ASC LLC DBA EYE SURGERY CENTER OF HAWAII

Laboratory Demographics

  • CLIA Code: 12D2032174
  • Facility Name: PACIFIC ASC LLC DBA EYE SURGERY CENTER OF HAWAII
  • Facility Address: 650 IWILEI RD SPACE 225
    HONOLULU, HI
    ZIP 96817
  • Facility Phone: 808 356-4300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN D. OLKOWSKI
  • NPI Number: 1043502792
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2032174
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC ASC LLC DBA EYE SURGERY CENTER OF HAWAII
Street 650 IWILEI RD SPACE 225
City HONOLULU
State HI
ZIP 96817
Phone 808 356-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN D. OLKOWSKI

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