05D2007910 CLIA NUMBER - GEORGE C SCOTT MD

Laboratory Demographics

  • CLIA Code: 05D2007910
  • Facility Name: GEORGE C SCOTT MD
  • Facility Address: 210 N FREMONT ST
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 239-4100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE C. SCOTT
  • NPI Number: 1942288873
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2007910
LAB Type Physician Office
Facility Name GEORGE C SCOTT MD
Street 210 N FREMONT ST
City MANTECA
State CA
ZIP 95336
Phone 209 239-4100
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 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director GEORGE C. SCOTT

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