05D2207846 CLIA NUMBER - NEW LIFE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2207846
  • Facility Name: NEW LIFE PHARMACY
  • Facility Address: 1722 DESIRE AVE #103
    ROWLAND HEIGHTS, CA
    ZIP 91748
  • Facility Phone: 626 839-3000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: INSEON CHUNG
  • NPI Number: 1215115159
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2207846
LAB Type Pharmacy
Facility Name NEW LIFE PHARMACY
Street 1722 DESIRE AVE #103
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 839-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Pharmacy
Lab Director INSEON CHUNG

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