05D2320358 CLIA NUMBER - CALIFORNIA URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2320358
  • Facility Name: CALIFORNIA URGENT CARE
  • Facility Address: 3500 ROSELLE AVE
    MODESTO, CA
    ZIP 95357
  • Facility Phone: 209 846-0725
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMI GEORGIES
  • NPI Number: 1063430718
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2320358
LAB Type Physician Office
Facility Name CALIFORNIA URGENT CARE
Street 3500 ROSELLE AVE
City MODESTO
State CA
ZIP 95357
Phone 209 846-0725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director RAMI GEORGIES

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