05D0610420 CLIA NUMBER - FIRST CHOICE PHYSICIAN PARTNERS

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CLIA Record

Field Name Field Value
CLIA Number 05D0610420
LAB Type Physician Office
Facility Name FIRST CHOICE PHYSICIAN PARTNERS
Street 1541 FLORIDA AVE. STE 200
City MODESTO
State CA
ZIP 95350
Phone 209 577-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director GINA A. QUAID

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