CLIA lab
CLIA 05D1042643: Khosrow Mehrany MD, Inc
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1042643 belongs to Khosrow Mehrany MD, Inc in Modesto, CA.
Certificate of Compliance, effective April 13, 2025, expires April 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 5, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1042643
- Lab name
- Khosrow Mehrany MD, Inc
- Address
- 1729 Tully Rd, Ste 9, Modesto, CA 95350
- Phone
- (209) 338-7758
- Fax
- (408) 292-2345
Annual test volume the lab reported
- Other nonwaived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Modesto, CA
- Abidali Professional Medical IncCertificate of Waiver, Other05D2319625
- Abrams Health Care IncCertificate of Waiver, Mobile lab05D2106430
- Addiction Free Recovery ServicesCertificate of Waiver, Comprehensive outpatient rehab facility05D2301245
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2165849
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973366
- Affection Health CareCertificate of Waiver, Physician office05D2329907
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2336722
- All for KidsCertificate of Waiver, Physician office05D2114344
- Allcare Hospitalist Medical Group - MchenryCertificate of Waiver, Physician office05D2314763
- Almond Vista HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0726157
Related
Questions
What is the CLIA number for Khosrow Mehrany MD, Inc in Modesto?
05D1042643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Khosrow Mehrany MD, Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1042643 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.