CLIA lab

CLIA 05D1046264: Kaiser Foundation Hospital Manteca

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

CLIA number 05D1046264 belongs to Kaiser Foundation Hospital Manteca in Manteca, CA.

Certificate for Provider-Performed Microscopy Procedures, effective October 4, 2025, expires October 3, 2027.

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 for Provider-Performed Microscopy Procedures
Certificate effective
October 4, 2025
Certificate expiration
October 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 4, 2005
Facility type
Hospital
Ownership (control type)
Private
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
05D1046264
Lab name
Kaiser Foundation Hospital Manteca
Address
1777 West Yosemite Ave, Manteca, CA 95337
Phone
(209) 735-6552
Fax
(209) 735-6531

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 Manteca, CA

Related

Questions

What is the CLIA number for Kaiser Foundation Hospital Manteca in Manteca?

05D1046264, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kaiser Foundation Hospital Manteca hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D1046264 expire?

The CMS file lists October 3, 2027 as the certificate expiration date; the certificate took effect October 4, 2025.

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