CLIA lab
CLIA 05D1058610: Sutter Gould Medical Foundation-600 Coffee-Im
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1058610 belongs to Sutter Gould Medical Foundation-600 Coffee-Im in Modesto, CA.
Certificate of Waiver, effective March 23, 2025, expires March 22, 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 of Waiver
- Certificate effective
- March 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2006
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1058610
- Lab name
- Sutter Gould Medical Foundation-600 Coffee-Im
- Address
- 600 Coffee Road, 2nd Fl Internal Med. Dept., Modesto, CA 95355
- Phone
- (209) 550-4744
Annual test volume the lab reported
- Waived tests
- 180
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 Sutter Gould Medical Foundation-600 Coffee-Im in Modesto?
05D1058610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Gould Medical Foundation-600 Coffee-Im hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1058610 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.