05D0956406 CLIA NUMBER - LESLIE LEE MD A PROFESSIONAL MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D0956406
  • Facility Name: LESLIE LEE MD A PROFESSIONAL MEDICAL CORP
  • Facility Address: 150 S RAYMOND AVE
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 626 300-0008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE LEE
  • NPI Number: 1790830156
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0956406
LAB Type Physician Office
Facility Name LESLIE LEE MD A PROFESSIONAL MEDICAL CORP
Street 150 S RAYMOND AVE
City ALHAMBRA
State CA
ZIP 91801
Phone 626 300-0008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director LESLIE LEE

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