05D2031634 CLIA NUMBER - JOHN A GRIMALDI DO INC

Laboratory Demographics

  • CLIA Code: 05D2031634
  • Facility Name: JOHN A GRIMALDI DO INC
  • Facility Address: 450 4TH AVE STE 312
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 420-0201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. GRIMALDI
  • NPI Number: 1821157033
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2031634
LAB Type Physician Office
Facility Name JOHN A GRIMALDI DO INC
Street 450 4TH AVE STE 312
City CHULA VISTA
State CA
ZIP 91910
Phone 619 420-0201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director JOHN A. GRIMALDI

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