CLIA lab
CLIA 05D0559734: Thousand Oaks Pediatrics
Newbury Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0559734 belongs to Thousand Oaks Pediatrics in Newbury Park, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 1, 2025, expires April 30, 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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 05D0559734
- Lab name
- Thousand Oaks Pediatrics
- Address
- 1000 Newbury Road #200, Newbury Park, CA 91320
- Phone
- (805) 480-3730
- Fax
- (805) 480-1951
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.
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- Prestige Medical Associates IncCertificate of Waiver, Physician office05D2033942
- Ralphs Pharmacy #729Certificate of Waiver, Pharmacy05D1027397
- Sav-On Pharmacy #0391Certificate of Waiver, Pharmacy05D1062640
- Steven R Koe MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0983478
Related
Questions
What is the CLIA number for Thousand Oaks Pediatrics in Newbury Park?
05D0559734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thousand Oaks Pediatrics hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0559734 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.