CLIA lab
CLIA 05D2229940: Golden State Dermatology - Manteca
Manteca, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2229940 belongs to Golden State Dermatology - Manteca in Manteca, CA.
Certificate for Provider-Performed Microscopy Procedures, effective July 19, 2025, expires July 18, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- July 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2021
- Facility type
- Physician office
- 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
- 05D2229940
- Lab name
- Golden State Dermatology - Manteca
- Address
- 200 Cottage Ave Suite 201, Manteca, CA 95336
- Phone
- (209) 924-4086
Annual test volume the lab reported
- Waived tests
- 5
- Provider-performed microscopy tests
- 25
- Total
- 30
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 Golden State Dermatology - Manteca in Manteca?
05D2229940, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Dermatology - Manteca hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2229940 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.