05D0610291 CLIA NUMBER - FIRST CHOICE PHYSICIAN PARTNERS

Laboratory Demographics

  • CLIA Code: 05D0610291
  • Facility Name: FIRST CHOICE PHYSICIAN PARTNERS
  • Facility Address: 1541 FLORIDA AVE, SUITE 100
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 577-3388
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT EISENBERG
  • NPI Number: 1215294160
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0610291
LAB Type Physician Office
Facility Name FIRST CHOICE PHYSICIAN PARTNERS
Street 1541 FLORIDA AVE, SUITE 100
City MODESTO
State CA
ZIP 95350
Phone 209 577-3388
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director ROBERT EISENBERG

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This page was last updated on: 9/29/2025