CLIA lab
CLIA 05D2222610: Coffee Road Dialysis
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2222610 belongs to Coffee Road Dialysis in Modesto, CA.
Certificate of Waiver, effective April 29, 2025, expires April 28, 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 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2021
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2222610
- Lab name
- Coffee Road Dialysis
- Address
- 1328 Coffee Rd, Modesto, CA 95355
- Phone
- (209) 491-3690
- Fax
- (209) 491-3654
Annual test volume the lab reported
- Waived tests
- 6,552
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Coffee Road DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Coffee Road Dialysis in Modesto?
05D2222610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coffee Road Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2222610 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.