CLIA lab
CLIA 05D0919634: Anoush Ann Khodaverdian MD
Fresno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0919634 belongs to Anoush Ann Khodaverdian MD in Fresno, CA.
Certificate of Waiver, effective September 12, 2026, expires September 11, 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 12, 2026
- Certificate expiration
- September 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 1996
- 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
- 05D0919634
- Lab name
- Anoush Ann Khodaverdian MD
- Address
- 6327 North Fresno Street #108, Fresno, CA 93710
- Phone
- (209) 440-0110
- Fax
- (559) 440-0401
Annual test volume the lab reported
- Waived tests
- 320
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Anoush Ann Khodaverdian MD in Fresno?
05D0919634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Anoush Ann Khodaverdian MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0919634 expire?
The CMS file lists September 11, 2028 as the certificate expiration date; the certificate took effect September 12, 2026.