65D2327106 CLIA NUMBER - REEF SHARK PEDS LLC DBA ONE LOVE PEDIATRICS DEDEDO

Laboratory Demographics

  • CLIA Code: 65D2327106
  • Facility Name: REEF SHARK PEDS LLC DBA ONE LOVE PEDIATRICS DEDEDO
  • Facility Address: 148 MARINE CORPS DR STE 1A
    DEDEDO, GU
    ZIP 96929
  • Facility Phone: 671 689-8422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. UM
  • NPI Number: 1760239834
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 65D2327106
LAB Type Physician Office
Facility Name REEF SHARK PEDS LLC DBA ONE LOVE PEDIATRICS DEDEDO
Street 148 MARINE CORPS DR STE 1A
City DEDEDO
State GU
ZIP 96929
Phone 671 689-8422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director MICHAEL J. UM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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