CLIA lab

CLIA 05D1063556: Luz Elva Tristan MD

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

CLIA number 05D1063556 belongs to Luz Elva Tristan MD in Calexico, CA.

Certificate of Waiver, effective January 17, 2025, expires January 16, 2027.

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
January 17, 2025
Certificate expiration
January 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 17, 2007
Facility type
Physician office
Ownership (control type)
Private
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
05D1063556
Lab name
Luz Elva Tristan MD
Address
401 E Birch St, Calexico, CA 92231
Phone
(760) 768-5246
Fax
(760) 768-2234

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Calexico, CA

Related

Questions

What is the CLIA number for Luz Elva Tristan MD in Calexico?

05D1063556, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Luz Elva Tristan MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1063556 expire?

The CMS file lists January 16, 2027 as the certificate expiration date; the certificate took effect January 17, 2025.

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