65D2191411 CLIA NUMBER - GUAM RADIOLOGY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 65D2191411
  • Facility Name: GUAM RADIOLOGY CONSULTANTS
  • Facility Address: 633 GOVERNOR CARLOS CAMACHO ROAD, SUITE 210
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 649-1001
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. NATHANIEL B. BERG
  • NPI Number: 1376767426
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 65D2191411
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GUAM RADIOLOGY CONSULTANTS
Street 633 GOVERNOR CARLOS CAMACHO ROAD, SUITE 210
City TAMUNING
State GU
ZIP 96913
Phone 671 649-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. NATHANIEL B. BERG

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