CLIA lab
CLIA 05D2100470: Stephen K Liu MD
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2100470 belongs to Stephen K Liu MD in Modesto, CA.
Certificate of Waiver, effective August 14, 2025, expires August 13, 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 14, 2025
- Certificate expiration
- August 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2015
- 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
- 05D2100470
- Lab name
- Stephen K Liu MD
- Address
- 1552 Coffee Rd Ste 201, Modesto, CA 95355
- Phone
- (209) 524-2333
- Fax
- (209) 524-2142
Annual test volume the lab reported
- Waived tests
- 1,200
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 Stephen K Liu MD in Modesto?
05D2100470, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stephen K Liu MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2100470 expire?
The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.