65D2321037 CLIA NUMBER - SPECTRUM CONSULTING GROUP LLC

Laboratory Demographics

  • CLIA Code: 65D2321037
  • Facility Name: SPECTRUM CONSULTING GROUP LLC
  • Facility Address: 280 PALE SAN VITORED ROAD UNIT 104
    TAMUNING, GU
    ZIP 96913
  • Facility Phone: 671 969-5401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT DUENAS
  • NPI Number: 1043021546
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 65D2321037
LAB Type Physician Office
Facility Name SPECTRUM CONSULTING GROUP LLC
Street 280 PALE SAN VITORED ROAD UNIT 104
City TAMUNING
State GU
ZIP 96913
Phone 671 969-5401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director VINCENT DUENAS

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