65D2191209 CLIA NUMBER - ONE LOVE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 65D2191209
  • Facility Name: ONE LOVE PEDIATRICS, LLC
  • Facility Address: 744 N MARINE CORPS DR C211 UPPER TUMON
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 588-1588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. UM
  • NPI Number: 1932568995
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 65D2191209
LAB Type Physician Office
Facility Name ONE LOVE PEDIATRICS, LLC
Street 744 N MARINE CORPS DR C211 UPPER TUMON
City TAMUNING
State GU
ZIP 96913
Phone 671 588-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director DR. MICHAEL J. UM

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