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CLIA 05D0933474: Raymond I Poliakin, MD Facog
Thousand Oaks, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0933474 belongs to Raymond I Poliakin, MD Facog in Thousand Oaks, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 12, 2025, expires September 11, 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
- September 12, 2025
- Certificate expiration
- September 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 1997
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 05D0933474
- Lab name
- Raymond I Poliakin, MD Facog
- Address
- 227 W. Janss Road Suite 300, Thousand Oaks, CA 91360
- Phone
- (805) 497-8820
- Fax
- (805) 496-2072
Annual test volume the lab reported
- Waived tests
- 600
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 Raymond I Poliakin, MD Facog in Thousand Oaks?
05D0933474, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Raymond I Poliakin, MD Facog hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0933474 expire?
The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.
RUN IT IN RIVVI
Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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