CLIA lab
CLIA 12D2101562: Pacific Eye Surgery Center Inc
Waipahu, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D2101562 belongs to Pacific Eye Surgery Center Inc in Waipahu, HI.
Certificate of Waiver, effective September 3, 2025, expires September 2, 2027.
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 of Waiver
- Certificate effective
- September 3, 2025
- Certificate expiration
- September 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 3, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D2101562
- Lab name
- Pacific Eye Surgery Center Inc
- Address
- 94-871 Farrington Hwy Suite 200, Waipahu, HI 96797
- Phone
- (808) 533-7400
- Fax
- (808) 521-7798
Annual test volume the lab reported
- Waived tests
- 4,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alohi Clinic, LLCCertificate of Waiver, Other practitioner12D2288570
- Benedicto R Galindo MDCertificate of Waiver, Physician office12D0948772
- Benilda C Luz-Llena MD IncCertificate of Waiver, Physician office12D0944925
- Benjamin V Gozun III MD IncCertificate of Waiver, Physician office12D0934768
- Charlie Y Sonido MD IncCertificate of Waiver, Physician office12D0695622
- Charlie Y Sonido MD LLCCertificate of Waiver, Physician office12D2327728
Related
Questions
What is the CLIA number for Pacific Eye Surgery Center Inc in Waipahu?
12D2101562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Eye Surgery Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 12D2101562 expire?
The CMS file lists September 2, 2027 as the certificate expiration date; the certificate took effect September 3, 2025.