CLIA lab
CLIA 05D2113709: Modesto Kidney Medical Group
Patterson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2113709 belongs to Modesto Kidney Medical Group in Patterson, CA.
Certificate of Waiver, effective May 27, 2026, expires May 26, 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 of Waiver
- Certificate effective
- May 27, 2026
- Certificate expiration
- May 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2113709
- Lab name
- Modesto Kidney Medical Group
- Address
- 1700 Keystone Pacific Pkwy, Patterson, CA 95363
- Phone
- (209) 892-0615
- Fax
- (209) 892-0621
Annual test volume the lab reported
- Waived tests
- 208
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Patterson, CA
- A Wahid MD Inc DBA Apricot Valley Urgent CareCertificate of Waiver, Physician office05D2066256
- Del Puerto Health CenterCertificate of Waiver, Rural health clinic05D1016529
- Innovative Dialysis of Patterson, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2080921
- Kohls Wellness CenterCertificate of Waiver, Physician office05D2058348
- Patterson Family PharmacyCertificate of Waiver, Pharmacy05D2186626
- Patterson Urgent Care and Work Wellness CenterCertificate of Waiver, Physician office05D2081528
- Wahid Medical CorporationCertificate of Waiver, Physician office05D2039449
- Walgreens #09955Certificate of Waiver, Pharmacy05D2220418
- Walmart Pharmacy #10-5843Certificate of Waiver, Pharmacy05D2339888
Related
Questions
What is the CLIA number for Modesto Kidney Medical Group in Patterson?
05D2113709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modesto Kidney Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2113709 expire?
The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.