05D2294021 CLIA NUMBER - SUNNY MANN MD INC

Laboratory Demographics

  • CLIA Code: 05D2294021
  • Facility Name: SUNNY MANN MD INC
  • Facility Address: 2216 N CALIFORNIA ST STE A
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 851-2065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDEEP S. MANN
  • NPI Number: 1104609122
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2294021
LAB Type Physician Office
Facility Name SUNNY MANN MD INC
Street 2216 N CALIFORNIA ST STE A
City STOCKTON
State CA
ZIP 95204
Phone 209 851-2065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director SANDEEP S. MANN

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