65D2016320 CLIA NUMBER - RSA TUMON LLC DBA US RENAL CARE TUMON DIALYSIS

Laboratory Demographics

  • CLIA Code: 65D2016320
  • Facility Name: RSA TUMON LLC DBA US RENAL CARE TUMON DIALYSIS
  • Facility Address: 146 NORTH MARINE CORPS DR
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 646-3773
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHERIF A. PHILIPS
  • NPI Number: 1790090678
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 65D2016320
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RSA TUMON LLC DBA US RENAL CARE TUMON DIALYSIS
Street 146 NORTH MARINE CORPS DR
City TAMUNING
State GU
ZIP 96913
Phone 671 646-3773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHERIF A. PHILIPS

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