CLIA lab
CLIA 05D1054097: San Juan Medical Clinic Inc
Oxnard, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1054097 belongs to San Juan Medical Clinic Inc in Oxnard, CA.
Certificate of Waiver, effective May 11, 2026, expires May 10, 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
- May 11, 2026
- Certificate expiration
- May 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2006
- 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
- 05D1054097
- Lab name
- San Juan Medical Clinic Inc
- Address
- 971 W Seventh St Suite B, Oxnard, CA 93030
- Phone
- (805) 483-2500
- Fax
- (805) 483-2525
Annual test volume the lab reported
- Waived tests
- 1,500
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 San Juan Medical Clinic Inc in Oxnard?
05D1054097, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Juan Medical Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1054097 expire?
The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.