05D0912738 CLIA NUMBER - MODESTO KIDNEY CENTER, LLC DBA: U.S. RENAL CARE MODESTO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0912738
  • Facility Name: MODESTO KIDNEY CENTER, LLC DBA: U.S. RENAL CARE MODESTO DIALYSIS
  • Facility Address: 305 EAST GRANGER AVENUE SUITE 102
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 574-6800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHANG JOO
  • NPI Number: 1003887712
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0912738
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MODESTO KIDNEY CENTER, LLC DBA: U.S. RENAL CARE MODESTO DIALYSIS
Street 305 EAST GRANGER AVENUE SUITE 102
City MODESTO
State CA
ZIP 95350
Phone 209 574-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHANG JOO

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