65D1031666 CLIA NUMBER - MPG PEDIATRICS DR MARIA BLANCAFLOR

Laboratory Demographics

  • CLIA Code: 65D1031666
  • Facility Name: MPG PEDIATRICS DR MARIA BLANCAFLOR
  • Facility Address: 396 CHALANS SAN ANTONIO, STE 103 ANTONIO BUILDING
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 648-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA B. BLANCAFLOR
  • NPI Number: 1487980728
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 65D1031666
LAB Type Physician Office
Facility Name MPG PEDIATRICS DR MARIA BLANCAFLOR
Street 396 CHALANS SAN ANTONIO, STE 103 ANTONIO BUILDING
City TAMUNING
State GU
ZIP 96913
Phone 671 648-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director MARIA B. BLANCAFLOR

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