CLIA lab

CLIA 05D1075493: Mojgan Makhsoosi MD Inc

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

CLIA number 05D1075493 belongs to Mojgan Makhsoosi MD Inc in Simi Valley, CA.

Certificate of Waiver, effective October 22, 2025, expires October 21, 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
October 22, 2025
Certificate expiration
October 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 22, 2007
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
05D1075493
Lab name
Mojgan Makhsoosi MD Inc
Address
1687 Erringer Rd Ste 203, Simi Valley, CA 93065
Phone
(805) 915-0315
Fax
(805) 915-0317

Annual test volume the lab reported

Waived tests
200

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 Mojgan Makhsoosi MD Inc in Simi Valley?

05D1075493, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mojgan Makhsoosi MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1075493 expire?

The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.

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