33D2264606 CLIA NUMBER - VIVA PHARMACY AND WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 33D2264606
  • Facility Name: VIVA PHARMACY AND WELLNESS LLC
  • Facility Address: 80-14 NORTHERN BLVD
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Facility Phone: 718 450-9595
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. LATCHMIN RAGHUNAUTH
  • NPI Number: 1659748150
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2264606
LAB Type Pharmacy
Facility Name VIVA PHARMACY AND WELLNESS LLC
Street 80-14 NORTHERN BLVD
City JACKSON HEIGHTS
State NY
ZIP 11372
Phone 718 450-9595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. LATCHMIN RAGHUNAUTH

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