05D2185943 CLIA NUMBER - WELLNESS PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2185943
  • Facility Name: WELLNESS PHARMACY
  • Facility Address: 14777 LOS GATOS BLVD STE 101
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 356-4848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CUONG TRINH
  • NPI Number: 1013212323
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2185943
LAB Type Physician Office
Facility Name WELLNESS PHARMACY
Street 14777 LOS GATOS BLVD STE 101
City LOS GATOS
State CA
ZIP 95032
Phone 408 356-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director CUONG TRINH

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