05D2227942 CLIA NUMBER - LIVE WELL PHARMACY INC

Laboratory Demographics

  • CLIA Code: 05D2227942
  • Facility Name: LIVE WELL PHARMACY INC
  • Facility Address: 15871 POMONA RINCON RD UNIT 110
    CHINO HILLS, CA
    ZIP 91709
  • Facility Phone: 909 325-2211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAKE CHUANG
  • NPI Number: 1306307707
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2227942
LAB Type Pharmacy
Facility Name LIVE WELL PHARMACY INC
Street 15871 POMONA RINCON RD UNIT 110
City CHINO HILLS
State CA
ZIP 91709
Phone 909 325-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director JAKE CHUANG

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