05D2056349 CLIA NUMBER - LA BUENA VIDA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2056349
  • Facility Name: LA BUENA VIDA PHARMACY
  • Facility Address: 51335 HARRISON ST., STE. 116
    COACHELLA, CA
    ZIP 92236
  • Facility Phone: 760 398-8866
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SIMONE YIK, PIC
  • NPI Number: 1770833386
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056349
LAB Type Pharmacy
Facility Name LA BUENA VIDA PHARMACY
Street 51335 HARRISON ST., STE. 116
City COACHELLA
State CA
ZIP 92236
Phone 760 398-8866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director SIMONE YIK, PIC

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