10D2188025 CLIA NUMBER - BUENO PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2188025
  • Facility Name: BUENO PHARMACY LLC
  • Facility Address: 2921 S ORLANDO DRIVE STE 130
    SANFORD, FL
    ZIP 32773
  • Facility Phone: 855 283-6679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. MALDONADO
  • NPI Number: 1518466275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188025
LAB Type Pharmacy
Facility Name BUENO PHARMACY LLC
Street 2921 S ORLANDO DRIVE STE 130
City SANFORD
State FL
ZIP 32773
Phone 855 283-6679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Pharmacy
Lab Director ANTHONY J. MALDONADO

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