05D2186393 CLIA NUMBER - HAYES B. GLADSTONE M.D. PC, MANTECA

Laboratory Demographics

  • CLIA Code: 05D2186393
  • Facility Name: HAYES B. GLADSTONE M.D. PC, MANTECA
  • Facility Address: 1660 W YOSEMITE AVE, #4
    MANTECA, CA
    ZIP 95337
  • Facility Phone: 209 665-3202
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HAYES B. GLADSTONE
  • NPI Number: 1376947978
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2186393
LAB Type Physician Office
Facility Name HAYES B. GLADSTONE M.D. PC, MANTECA
Street 1660 W YOSEMITE AVE, #4
City MANTECA
State CA
ZIP 95337
Phone 209 665-3202
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/10/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director HAYES B. GLADSTONE

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