12D2041597 CLIA NUMBER - ALOHA EYE CLINIC LTD DBA ALOHA EYE CLINIC & OPTICAL CTR

Laboratory Demographics

  • CLIA Code: 12D2041597
  • Facility Name: ALOHA EYE CLINIC LTD DBA ALOHA EYE CLINIC & OPTICAL CTR
  • Facility Address: 1300 N HOLOPONO ST, STE 109
    KIHEI, HI
    ZIP 96753
  • Facility Phone: 808 442-3058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JIVIN G. TANTISIRA
  • NPI Number: 1740065325
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 12D2041597
LAB Type Physician Office
Facility Name ALOHA EYE CLINIC LTD DBA ALOHA EYE CLINIC & OPTICAL CTR
Street 1300 N HOLOPONO ST, STE 109
City KIHEI
State HI
ZIP 96753
Phone 808 442-3058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director DR. JIVIN G. TANTISIRA

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