05D0610383 CLIA NUMBER - MODESTO POST ACUTE CENTER

Laboratory Demographics

  • CLIA Code: 05D0610383
  • Facility Name: MODESTO POST ACUTE CENTER
  • Facility Address: 159 E ORANGEBURG AVE
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 526-2811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. BRODIE
  • NPI Number: 1932251808
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0610383
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MODESTO POST ACUTE CENTER
Street 159 E ORANGEBURG AVE
City MODESTO
State CA
ZIP 95350
Phone 209 526-2811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL A. BRODIE

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