65D2295777 CLIA NUMBER - OHIMAA MEDICAL

Laboratory Demographics

  • CLIA Code: 65D2295777
  • Facility Name: OHIMAA MEDICAL
  • Facility Address: 160 N MARINE CORPS DRIVE, STE 669
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 689-2993
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. AKUA A. AGYEMAN
  • NPI Number: 1912786815
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 65D2295777
LAB Type Other - URGENT CARE CLINIC
Facility Name OHIMAA MEDICAL
Street 160 N MARINE CORPS DRIVE, STE 669
City TAMUNING
State GU
ZIP 96913
Phone 671 689-2993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Other - URGENT CARE CLINIC
Lab Director DR. AKUA A. AGYEMAN

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This page was last updated on: 3/20/2025