12D2107445 CLIA NUMBER - SURGICAL SPECIALTIES LLC

Laboratory Demographics

  • CLIA Code: 12D2107445
  • Facility Name: SURGICAL SPECIALTIES LLC
  • Facility Address: 1329 LUSITANA ST SUITE 401
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 599-7779
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. GARRY B. PEERS
  • NPI Number: 1134499650
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2107445
LAB Type Ambulatory Surgery Center
Facility Name SURGICAL SPECIALTIES LLC
Street 1329 LUSITANA ST SUITE 401
City HONOLULU
State HI
ZIP 96813
Phone 808 599-7779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. GARRY B. PEERS

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