CLIA lab

CLIA 05D2151767: Stanislaus Health and Wellness

Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2151767 belongs to Stanislaus Health and Wellness in Modesto, CA.

Certificate of Waiver, effective July 26, 2026, expires July 25, 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
July 26, 2026
Certificate expiration
July 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 26, 2018
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
05D2151767
Lab name
Stanislaus Health and Wellness
Address
1908 Coffee Rd Ste 3, Modesto, CA 95355
Phone
(209) 846-9429
Fax
(209) 551-1665

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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Questions

What is the CLIA number for Stanislaus Health and Wellness in Modesto?

05D2151767, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Stanislaus Health and Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2151767 expire?

The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.

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