05D2101818 CLIA NUMBER - MODERN URGENT CARE INC.

Laboratory Demographics

  • CLIA Code: 05D2101818
  • Facility Name: MODERN URGENT CARE INC.
  • Facility Address: 2519 E WHITMORE AVE
    CERES, CA
    ZIP 95307
  • Facility Phone: 209 537-4700
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: STEPHEN WESELY
  • NPI Number: 1427441286
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2101818
LAB Type Other - URGENT CARE
Facility Name MODERN URGENT CARE INC.
Street 2519 E WHITMORE AVE
City CERES
State CA
ZIP 95307
Phone 209 537-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Other - URGENT CARE
Lab Director STEPHEN WESELY

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