65D2263520 CLIA NUMBER - ISLAND FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 65D2263520
  • Facility Name: ISLAND FAMILY PHARMACY
  • Facility Address: 541 S MARINE CORPS DRIVE #101
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 646-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DA HAE KWON
  • NPI Number: 1427623305
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 65D2263520
LAB Type Pharmacy
Facility Name ISLAND FAMILY PHARMACY
Street 541 S MARINE CORPS DRIVE #101
City TAMUNING
State GU
ZIP 96913
Phone 671 646-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Pharmacy
Lab Director DA HAE KWON

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