CLIA lab

CLIA 05D2153488: Doctors Hospital Manteca Wound Clinic

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

CLIA number 05D2153488 belongs to Doctors Hospital Manteca Wound Clinic in Manteca, CA.

Certificate of Waiver, effective August 27, 2026, expires August 26, 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
August 27, 2026
Certificate expiration
August 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 27, 2018
Facility type
Community clinic
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
05D2153488
Lab name
Doctors Hospital Manteca Wound Clinic
Address
1148 Norman Dr, Manteca, CA 95336
Phone
(209) 239-8320

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Manteca, CA

Related

Questions

What is the CLIA number for Doctors Hospital Manteca Wound Clinic in Manteca?

05D2153488, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Doctors Hospital Manteca Wound Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2153488 expire?

The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.

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