05D2163794 CLIA NUMBER - PHARMACY FOR LIVING WELL

Laboratory Demographics

  • CLIA Code: 05D2163794
  • Facility Name: PHARMACY FOR LIVING WELL
  • Facility Address: 1313 S HARBOR BOULEVARD, ROOM 237
    ANAHEIM, CA
    ZIP 92802
  • Facility Phone: 657 208-5485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE LE
  • NPI Number: 1447696513
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2163794
LAB Type Pharmacy
Facility Name PHARMACY FOR LIVING WELL
Street 1313 S HARBOR BOULEVARD, ROOM 237
City ANAHEIM
State CA
ZIP 92802
Phone 657 208-5485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Pharmacy
Lab Director NATALIE LE

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