CLIA lab
CLIA 05D2074038: Abdul W. Khan, M.D.
Manteca, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2074038 belongs to Abdul W. Khan, M.D. in Manteca, CA.
Certificate of Waiver, effective February 28, 2026, expires February 28, 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
- February 28, 2026
- Certificate expiration
- February 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2014
- 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
- 05D2074038
- Lab name
- Abdul W. Khan, M.D.
- Address
- 1144 Norman Drive Suite 205, Manteca, CA 95336
- Phone
- (209) 824-1230
- Fax
- (209) 249-9102
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manteca, CA
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2202059
- Allcare Hospitalist Medical Group-MantecaCertificate of Waiver, Physician office05D2313595
- Arcpoint Labs of MantecaCertificate of Waiver, Independent05D2308672
- Artius Dermatology Associates PCCertificate of Compliance, Physician office05D2190619
- Associate Home Health Care IncCertificate of Waiver, Home health agency05D2135891
- California Urgent Care CenterCertificate of Waiver, Physician office05D2193082
- Cornejo Chiropractic CentersCertificate of Waiver, Physician office05D2261783
- Cvs/Pharmacy #05403Certificate of Waiver, Pharmacy05D2268811
- David's Manteca Family Chiropractic CorporationCertificate of Waiver, Other practitioner05D2087604
- Doctors Hospital Manteca Wound ClinicCertificate of Waiver, Community clinic05D2153488
Related
Questions
What is the CLIA number for Abdul W. Khan, M.D. in Manteca?
05D2074038, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Abdul W. Khan, M.D. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2074038 expire?
The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.