05D1024068 CLIA NUMBER - VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1024068
  • Facility Name: VALLEY SURGERY CENTER
  • Facility Address: ATTN DIRECTOR OF NURSING 1300 MABLE AVE SUITE 1
    MODESTO, CA
    ZIP 95355
  • Facility Phone: 209 571-1633
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICK N. RHOADES MD
  • NPI Number: 1235106782
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1024068
LAB Type Ambulatory Surgery Center
Facility Name VALLEY SURGERY CENTER
Street ATTN DIRECTOR OF NURSING 1300 MABLE AVE SUITE 1
City MODESTO
State CA
ZIP 95355
Phone 209 571-1633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulatory Surgery Center
Lab Director PATRICK N. RHOADES MD

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