05D2056349 CLIA NUMBER - La Buena Vida Pharmacy

Laboratory Demographics

CLIA Number: 05D2056349

Facility Name: La Buena Vida Pharmacy

Facility Address:
51335 Harrison St., Ste. 116,
Coachella, CA
ZIP 92236
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Facility Phone Number: (760) 398-8866

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1770833386

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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 7603988866

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This page was last updated on: 5/19/2019