05D1068050 CLIA NUMBER - SUZANNE RIZKALLA, MD

Laboratory Demographics

  • CLIA Code: 05D1068050
  • Facility Name: SUZANNE RIZKALLA, MD
  • Facility Address: 25815 BARTON RD STE 102
    LOMA LINDA, CA
    ZIP 92354
  • Facility Phone: 909 478-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANNE S. RIZKALLA, MD
  • NPI Number: 1043324742
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1068050
LAB Type Physician Office
Facility Name SUZANNE RIZKALLA, MD
Street 25815 BARTON RD STE 102
City LOMA LINDA
State CA
ZIP 92354
Phone 909 478-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director SUZANNE S. RIZKALLA, MD

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