65D2161535 CLIA NUMBER - GUAM SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 65D2161535
  • Facility Name: GUAM SURGICENTER LLC
  • Facility Address: 633 GOV CARLOS CAMACHO RD STE 101
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 646-3855
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JI S. HYO
  • NPI Number: 1255338000
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 65D2161535
LAB Type Ambulatory Surgery Center
Facility Name GUAM SURGICENTER LLC
Street 633 GOV CARLOS CAMACHO RD STE 101
City TAMUNING
State GU
ZIP 96913
Phone 671 646-3855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JI S. HYO

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