CLIA lab

CLIA 05D0609382: Crestwood Manor - Stockton

Stockton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0609382 belongs to Crestwood Manor - Stockton in Stockton, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0609382
Lab name
Crestwood Manor - Stockton
Address
1130 Monaco Ct, Stockton, CA 95207
Phone
(209) 478-2060
Fax
(209) 478-3175

Annual test volume the lab reported

Waived tests
12,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Stockton, CA

Related

Questions

What is the CLIA number for Crestwood Manor - Stockton in Stockton?

05D0609382, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crestwood Manor - Stockton hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0609382 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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