12D2046007 CLIA NUMBER - PACIFIC ENDOSCOPY CENTER LLC DBA ENDOSCOPY INSTITUTE OF HAWAII (EIH)

Laboratory Demographics

  • CLIA Code: 12D2046007
  • Facility Name: PACIFIC ENDOSCOPY CENTER LLC DBA ENDOSCOPY INSTITUTE OF HAWAII (EIH)
  • Facility Address: 1401 S BERETANIA ST SUITE 200
    HONOLULU, HI
    ZIP 96814
  • Facility Phone: (808) 321-6700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CEDRIC LORENZO
  • NPI Number: 1124389200
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2046007
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC ENDOSCOPY CENTER LLC DBA ENDOSCOPY INSTITUTE OF HAWAII (EIH)
Street 1401 S BERETANIA ST SUITE 200
City HONOLULU
State HI
ZIP 96814
Phone 8083216700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CEDRIC LORENZO

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This page was last updated on: 5/18/2026