CLIA lab
CLIA 05D2065166: Modesto Specialty Surgery Center
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065166 belongs to Modesto Specialty Surgery Center in Modesto, CA.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 2013
- 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
- 05D2065166
- Lab name
- Modesto Specialty Surgery Center
- Address
- 3105 Mchenry Ave Ste 102, Modesto, CA 95350
- Phone
- (661) 878-6511
- Fax
- (661) 266-8751
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Abrams Health Care IncCertificate of Waiver, Mobile lab05D2106430
- Addiction Free Recovery ServicesCertificate of Waiver, Comprehensive outpatient rehab facility05D2301245
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2165849
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973366
- Affection Health CareCertificate of Waiver, Physician office05D2329907
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2336722
- All for KidsCertificate of Waiver, Physician office05D2114344
- Allcare Hospitalist Medical Group - MchenryCertificate of Waiver, Physician office05D2314763
- Almond Vista HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0726157
Related
Questions
What is the CLIA number for Modesto Specialty Surgery Center in Modesto?
05D2065166, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modesto Specialty Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065166 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.