CLIA lab

CLIA 05D0996120: Tarek R Nassif MD

San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0996120 belongs to Tarek R Nassif MD in San Gabriel, CA.

Certificate of Waiver, effective February 11, 2026, expires February 10, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 11, 2026
Certificate expiration
February 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 11, 2002
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0996120
Lab name
Tarek R Nassif MD
Address
416 W Las Tunas #304, San Gabriel, CA 91776
Phone
(626) 289-0130
Fax
(626) 289-0171

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Tarek R Nassif MD in San Gabriel?

05D0996120, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tarek R Nassif MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0996120 expire?

The CMS file lists February 10, 2028 as the certificate expiration date; the certificate took effect February 11, 2026.

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