05D2135983 CLIA NUMBER - MANTECA URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2135983
  • Facility Name: MANTECA URGENT CARE
  • Facility Address: 241 W YOSEMITE AVE
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 239-0320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIN WU
  • NPI Number: 1780107888
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2135983
LAB Type Physician Office
Facility Name MANTECA URGENT CARE
Street 241 W YOSEMITE AVE
City MANTECA
State CA
ZIP 95336
Phone 209 239-0320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director MIN WU

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