05D2212484 CLIA NUMBER - AVIVA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2212484
  • Facility Name: AVIVA PHARMACY
  • Facility Address: 2633 ATLANTIC AVENUE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 888-1277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHY NGUYEN
  • NPI Number: 1730611559
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2212484
LAB Type Pharmacy
Facility Name AVIVA PHARMACY
Street 2633 ATLANTIC AVENUE
City LONG BEACH
State CA
ZIP 90806
Phone 562 888-1277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Pharmacy
Lab Director CATHY NGUYEN

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