05D0609981 CLIA NUMBER - HEALTHY U CLINICS

Laboratory Demographics

  • CLIA Code: 05D0609981
  • Facility Name: HEALTHY U CLINICS
  • Facility Address: 1262 E NORTH ST
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 524-1668
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TERRY CROASDALE
  • NPI Number: 1821355777
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D0609981
LAB Type Physician Office
Facility Name HEALTHY U CLINICS
Street 1262 E NORTH ST
City MANTECA
State CA
ZIP 95336
Phone 209 524-1668
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DR. TERRY CROASDALE

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