05D0979069 CLIA NUMBER - MANOJ KHATORE MD, A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0979069
  • Facility Name: MANOJ KHATORE MD, A PROFESSIONAL CORPORATION
  • Facility Address: 1901 OUTLET CENTER DRIVE, SUITE #260
    OXNARD, CA
    ZIP 93036
  • Facility Phone: 805 604-1824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOJ KHATORE MD
  • NPI Number: 1528140639
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0979069
LAB Type Physician Office
Facility Name MANOJ KHATORE MD, A PROFESSIONAL CORPORATION
Street 1901 OUTLET CENTER DRIVE, SUITE #260
City OXNARD
State CA
ZIP 93036
Phone 805 604-1824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director MANOJ KHATORE MD

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This page was last updated on: 9/29/2025