CLIA lab
CLIA 05D2190147: Amin Khorsandi MD Inc
Winnetka, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2190147 belongs to Amin Khorsandi MD Inc in Winnetka, CA.
Certificate of Waiver, effective August 10, 2026, expires August 9, 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
- August 10, 2026
- Certificate expiration
- August 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2020
- 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
- 05D2190147
- Lab name
- Amin Khorsandi MD Inc
- Address
- 6742 Winnetka Avenue, Winnetka, CA 91306
- Phone
- (818) 705-3100
- Fax
- (818) 705-6999
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- El Proyecto Del BarrioCertificate for Provider-Performed Microscopy Procedures, Physician office05D0557468
- Elevate Rehabilitation Center IncCertificate of Waiver, Other05D2329714
- Evolve Hospice IncCertificate of Waiver, Hospice05D2324372
- Grace and Comfort Hospice CareCertificate of Waiver, Hospice05D2324360
- H & A Dedicated Home Health IncCertificate of Waiver, Home health agency05D2287817
- J-J Excel-Care Home 2Certificate of Waiver, Mobile lab05D2165339
- Maple Moon LLCCertificate of Waiver, Other05D2248079
- Peaceful Life RecoveryCertificate of Waiver, Other05D2332267
Related
Questions
What is the CLIA number for Amin Khorsandi MD Inc in Winnetka?
05D2190147, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amin Khorsandi MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2190147 expire?
The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.