CLIA lab
CLIA 05D2217872: Manteca Retirement Community
Manteca, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2217872 belongs to Manteca Retirement Community in Manteca, CA.
Certificate of Waiver, effective March 24, 2025, expires March 23, 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 of Waiver
- Certificate effective
- March 24, 2025
- Certificate expiration
- March 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2021
- Facility type
- Assisted living 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
- 05D2217872
- Lab name
- Manteca Retirement Community
- Address
- 430 North Union Road, Manteca, CA 95337
- Phone
- (209) 823-0164
- Fax
- (209) 823-0821
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manteca, CA
- Abdul W. Khan, M.D.Certificate of Waiver, Physician office05D2074038
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2202059
- Allcare Hospitalist Medical Group-MantecaCertificate of Waiver, Physician office05D2313595
- Arcpoint Labs of MantecaCertificate of Waiver, Independent05D2308672
- Artius Dermatology Associates PCCertificate of Compliance, Physician office05D2190619
- Associate Home Health Care IncCertificate of Waiver, Home health agency05D2135891
- California Urgent Care CenterCertificate of Waiver, Physician office05D2193082
- Cornejo Chiropractic CentersCertificate of Waiver, Physician office05D2261783
- Cvs/Pharmacy #05403Certificate of Waiver, Pharmacy05D2268811
- David's Manteca Family Chiropractic CorporationCertificate of Waiver, Other practitioner05D2087604
Related
Questions
What is the CLIA number for Manteca Retirement Community in Manteca?
05D2217872, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Manteca Retirement Community hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2217872 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.