65D2086790 CLIA NUMBER - GURUSAMY INC DBA HEALTH SERVICES OF THE PACIFIC-MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 65D2086790
  • Facility Name: GURUSAMY INC DBA HEALTH SERVICES OF THE PACIFIC-MEDICAL CLINIC
  • Facility Address: 655 HARMON LOOP RD 300
    DEDEDO, GU
    ZIP 96929
  • Facility Phone: 671 647-5355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUTH GURUSAMY
  • NPI Number: 1942277967
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 65D2086790
LAB Type Physician Office
Facility Name GURUSAMY INC DBA HEALTH SERVICES OF THE PACIFIC-MEDICAL CLINIC
Street 655 HARMON LOOP RD 300
City DEDEDO
State GU
ZIP 96929
Phone 671 647-5355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director RUTH GURUSAMY

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