CLIA lab
CLIA 05D0610308: Modesto Kidney Medical Group
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0610308 belongs to Modesto Kidney Medical Group in Modesto, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 1993
- 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
- 05D0610308
- Lab name
- Modesto Kidney Medical Group
- Address
- 305 E Granger Avenue, Suite 202, Modesto, CA 95350
- Phone
- (209) 526-1606
- Fax
- (209) 526-1677
Annual test volume the lab reported
- Waived tests
- 408
- Provider-performed microscopy tests
- 408
- Total
- 816
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 Modesto Kidney Medical Group in Modesto?
05D0610308, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modesto Kidney Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0610308 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.