05D2235032 CLIA NUMBER - ARCHANA CORPORATION DBA LEO'S LAKESIDE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2235032
  • Facility Name: ARCHANA CORPORATION DBA LEO'S LAKESIDE PHARMACY
  • Facility Address: 9943 MAINE AVE
    LAKESIDE, CA
    ZIP 92040
  • Facility Phone: 619 443-1013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJESHBHAI ZALAVADIYA
  • NPI Number: 1013589100
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2235032
LAB Type Pharmacy
Facility Name ARCHANA CORPORATION DBA LEO'S LAKESIDE PHARMACY
Street 9943 MAINE AVE
City LAKESIDE
State CA
ZIP 92040
Phone 619 443-1013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Pharmacy
Lab Director RAJESHBHAI ZALAVADIYA

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