05D1034470 CLIA NUMBER - MANTECA CARE & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 05D1034470
  • Facility Name: MANTECA CARE & REHABILITATION CENTER
  • Facility Address: 410 EASTWOOD AVE
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 239-1222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RAJAN SAINI MD
  • NPI Number: 1821082637
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1034470
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MANTECA CARE & REHABILITATION CENTER
Street 410 EASTWOOD AVE
City MANTECA
State CA
ZIP 95336
Phone 209 239-1222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RAJAN SAINI MD

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