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CLIA 05D2020775: Michelle A Marine, MD Inc
Thousand Oaks, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2020775 belongs to Michelle A Marine, MD Inc in Thousand Oaks, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 28, 2025, expires February 27, 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
- February 28, 2025
- Certificate expiration
- February 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2011
- 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
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Lab and contact
- CLIA number
- 05D2020775
- Lab name
- Michelle A Marine, MD Inc
- Address
- 77 Rolling Oaks Dr Ste 306, Thousand Oaks, CA 91361
- Phone
- (805) 371-8775
- Fax
- (805) 379-3711
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 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 Michelle A Marine, MD Inc in Thousand Oaks?
05D2020775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michelle A Marine, MD Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2020775 expire?
The CMS file lists February 27, 2027 as the certificate expiration date; the certificate took effect February 28, 2025.
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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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