CLIA lab

CLIA 05D0979069: Manoj Khatore MD, A Professional Corporation

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

CLIA number 05D0979069 belongs to Manoj Khatore MD, A Professional Corporation in Oxnard, CA.

Certificate of Waiver, effective March 21, 2025, expires March 20, 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 of Waiver
Certificate effective
March 21, 2025
Certificate expiration
March 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 12, 2000
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
05D0979069
Lab name
Manoj Khatore MD, A Professional Corporation
Address
1901 Outlet Center Drive, Suite #260, Oxnard, CA 93036
Phone
(805) 604-1824
Fax
(805) 604-1844

Annual test volume the lab reported

Waived tests
500

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 Manoj Khatore MD, A Professional Corporation in Oxnard?

05D0979069, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Manoj Khatore MD, A Professional Corporation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0979069 expire?

The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.

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