05D0610690 CLIA NUMBER - SUTTER GOULD MEDICAL FOUNDATION CLINICAL - 600 COFFEE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0610690
  • Facility Name: SUTTER GOULD MEDICAL FOUNDATION CLINICAL - 600 COFFEE LABORATORY
  • Facility Address: 600 COFFEE RD
    MODESTO, CA
    ZIP 95355
  • Facility Phone: 209 872-6017
  • Facility Type: Other - MEDICAL FOUNDATION
  • Facility Type: Accreditation
  • Lab Director: DR. MING ZHOU
  • NPI Number: 1316993611
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D0610690
LAB Type Other - MEDICAL FOUNDATION
Facility Name SUTTER GOULD MEDICAL FOUNDATION CLINICAL - 600 COFFEE LABORATORY
Street 600 COFFEE RD
City MODESTO
State CA
ZIP 95355
Phone 209 872-6017
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Other - MEDICAL FOUNDATION
Lab Director DR. MING ZHOU

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