CLIA lab

CLIA 05D2308240: Medcor Clinic at Thrive Foods

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

CLIA number 05D2308240 belongs to Medcor Clinic at Thrive Foods in Modesto, CA.

Certificate of Waiver, effective July 23, 2026, expires July 22, 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 23, 2026
Certificate expiration
July 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2024
Facility type
Industrial
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
05D2308240
Lab name
Medcor Clinic at Thrive Foods
Address
1836 Lapham Dr, Modesto, CA 95354
Phone
(815) 363-9500
Fax
(815) 363-9696

Annual test volume the lab reported

Waived tests
20

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 Medcor Clinic at Thrive Foods in Modesto?

05D2308240, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medcor Clinic at Thrive Foods hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2308240 expire?

The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.

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