05D2163721 CLIA NUMBER - LIFE CONNECTIONS HEALTH CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2163721
  • Facility Name: LIFE CONNECTIONS HEALTH CENTER PHARMACY
  • Facility Address: 3571 N 1ST STREET, #201
    SAN JOSE, CA
    ZIP 95134
  • Facility Phone: 408 876-6191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY LAU
  • NPI Number: 1134385453
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2163721
LAB Type Pharmacy
Facility Name LIFE CONNECTIONS HEALTH CENTER PHARMACY
Street 3571 N 1ST STREET, #201
City SAN JOSE
State CA
ZIP 95134
Phone 408 876-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Pharmacy
Lab Director TONY LAU

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