CLIA lab
CLIA 12D1031619: Simon K Chang MD, LLC
Honolulu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D1031619 belongs to Simon K Chang MD, LLC in Honolulu, HI.
Certificate for Provider-Performed Microscopy Procedures, effective October 5, 2026, expires October 4, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 5, 2026
- Certificate expiration
- October 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2004
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D1031619
- Lab name
- Simon K Chang MD, LLC
- Address
- 1100 Ward Avenue Suite 701, Honolulu, HI 96814
- Phone
- (808) 599-2854
Affiliated CLIA numbers
Other labs in Honolulu, HI
- 'iolani SchoolCertificate of Waiver, School or student health service12D2213184
- 15 CraigsideCertificate of Waiver, Skilled nursing or nursing facility12D2021949
- 5 Minute Pharmacy Ala Moana LLCCertificate of Waiver, Pharmacy12D2196483
- Advanced Psychiatric Therapeutics LLCCertificate of Waiver, Physician office12D2095677
- Advanced Reproductive Center of HawaiiCertificate for Provider-Performed Microscopy Procedures, Physician office12D1043663
- Adventist Health Castle Urgent Care-Hawaii KaiCertificate of Waiver, Other12D2331387
- Ala Moana Walk-In Medical ClinicCertificate of Waiver, Other12D2237151
- Allergy/Asthma Specialties IncCertificate of Waiver, Physician office12D0620813
- Aloha Cares Medical LLCCertificate of Waiver, Other12D2308735
- Aloha Laser Vision LLCCertificate of Waiver, Physician office12D2078484
Related
Questions
What is the CLIA number for Simon K Chang MD, LLC in Honolulu?
12D1031619, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Simon K Chang MD, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 12D1031619 expire?
The CMS file lists October 4, 2028 as the certificate expiration date; the certificate took effect October 5, 2026.