10D2243901 CLIA NUMBER - KAILASHRX LLC DBA COMMUNITY PHARMACY OF DELTONA

Laboratory Demographics

  • CLIA Code: 10D2243901
  • Facility Name: KAILASHRX LLC DBA COMMUNITY PHARMACY OF DELTONA
  • Facility Address: 1240 PROVIDENCE BLVD UNIT 1 & 2
    DELTONA, FL
    ZIP 32725
  • Facility Phone: 386 259-5435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYESH MEHTA
  • NPI Number: 1922635424
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2243901
LAB Type Pharmacy
Facility Name KAILASHRX LLC DBA COMMUNITY PHARMACY OF DELTONA
Street 1240 PROVIDENCE BLVD UNIT 1 & 2
City DELTONA
State FL
ZIP 32725
Phone 386 259-5435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Pharmacy
Lab Director JAYESH MEHTA

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