05D2074180 CLIA NUMBER - ARCHWAY DIALYSIS OF MODESTO

Laboratory Demographics

  • CLIA Code: 05D2074180
  • Facility Name: ARCHWAY DIALYSIS OF MODESTO
  • Facility Address: 3001 HEALTH CARE WAY, BLDG E, STE 102
    MODESTO, CA
    ZIP 95356
  • Facility Phone: 209 543-1720
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHIT SAHAHNI
  • NPI Number: 1396176020
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2074180
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARCHWAY DIALYSIS OF MODESTO
Street 3001 HEALTH CARE WAY, BLDG E, STE 102
City MODESTO
State CA
ZIP 95356
Phone 209 543-1720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHIT SAHAHNI

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