05D2213922 CLIA NUMBER - THE COMMONS ON UNION RANCH

Laboratory Demographics

  • CLIA Code: 05D2213922
  • Facility Name: THE COMMONS ON UNION RANCH
  • Facility Address: 2241 N. UNION RD
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 463-9100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EPIFANIO DE LEON
  • NPI Number: 1497073845
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2213922
LAB Type Assisted Living Facility
Facility Name THE COMMONS ON UNION RANCH
Street 2241 N. UNION RD
City MANTECA
State CA
ZIP 95336
Phone 209 463-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Assisted Living Facility
Lab Director EPIFANIO DE LEON

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