CLIA lab
CLIA 05D1066895: Physicians Surgery Center of Modesto
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1066895 belongs to Physicians Surgery Center of Modesto in Modesto, CA.
Certificate of Waiver, effective April 5, 2025, expires April 4, 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
- April 5, 2025
- Certificate expiration
- April 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 2007
- Facility type
- Ambulatory surgery center
- 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
- 05D1066895
- Lab name
- Physicians Surgery Center of Modesto
- Additional name
- DBA River Surgical Institute
- Address
- 609 E Orangeburg Ave Bldg B, Modesto, CA 95350
- Phone
- (209) 527-6700
- Fax
- (209) 527-6711
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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Related
Questions
What is the CLIA number for Physicians Surgery Center of Modesto in Modesto?
05D1066895, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physicians Surgery Center of Modesto hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1066895 expire?
The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.