12D2181735 CLIA NUMBER - PACIFIC VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 12D2181735
  • Facility Name: PACIFIC VASCULAR INSTITUTE
  • Facility Address: 99-115 AIEA HEIGHTS DRIVE SUITE 276
    AIEA, HI
    ZIP 96701
  • Facility Phone: 808 784-3050
  • Facility Type: Other - OFFICE BASED LAB
  • Facility Type: Waiver
  • Lab Director: AMR EL-SERGANY
  • NPI Number: 1154888014
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 12D2181735
LAB Type Other - OFFICE BASED LAB
Facility Name PACIFIC VASCULAR INSTITUTE
Street 99-115 AIEA HEIGHTS DRIVE SUITE 276
City AIEA
State HI
ZIP 96701
Phone 808 784-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Other - OFFICE BASED LAB
Lab Director AMR EL-SERGANY

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