CLIA lab
CLIA 05D1075344: Jean Rizkallah, MD Inc
Chula Vista, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1075344 belongs to Jean Rizkallah, MD Inc in Chula Vista, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 18, 2025, expires October 17, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2007
- 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
- 05D1075344
- Lab name
- Jean Rizkallah, MD Inc
- Address
- 450 Fourth Ave Ste 408, Chula Vista, CA 91910
- Phone
- (619) 691-1990
- Fax
- (619) 691-5977
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 1,500
- Total
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bayview Behavioral Health CampusCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0912901
- Biomat USA, Inc.Certificate of Accreditation, Other05D2135855
- Bonita Homecare, IncCertificate of Waiver, Home health agency05D2081428
- Brett J Berman MD ApcCertificate of Waiver, Physician office05D2075970
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Related
Questions
What is the CLIA number for Jean Rizkallah, MD Inc in Chula Vista?
05D1075344, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jean Rizkallah, MD Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1075344 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.