CLIA lab

CLIA 05D0584165: Walter Thomas MD

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

CLIA number 05D0584165 belongs to Walter Thomas MD in Simi Valley, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.

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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0584165
Lab name
Walter Thomas MD
Address
1980 Sequoia Ave, Simi Valley, CA 93063
Phone
(805) 527-1804
Fax
(805) 527-5241

Annual test volume the lab reported

Waived tests
115

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

Affiliated CLIA numbers

Other labs in Simi Valley, CA

Related

Questions

What is the CLIA number for Walter Thomas MD in Simi Valley?

05D0584165, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walter Thomas MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0584165 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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