05D1003436 CLIA NUMBER - M JACQUELINE GALANG MD

Laboratory Demographics

  • CLIA Code: 05D1003436
  • Facility Name: M JACQUELINE GALANG MD
  • Facility Address: 321 CHERRY LN
    MANTECA, CA
    ZIP 95337
  • Facility Phone: 209 239-0120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE M. GALANG MD
  • NPI Number: 1972586097
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1003436
LAB Type Physician Office
Facility Name M JACQUELINE GALANG MD
Street 321 CHERRY LN
City MANTECA
State CA
ZIP 95337
Phone 209 239-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director JACQUELINE M. GALANG MD

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