05D0929908 CLIA NUMBER - MANZANITA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0929908
  • Facility Name: MANZANITA DIALYSIS CENTER
  • Facility Address: 4005 MANZANITA AVE, STE #17
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 483-3241
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAVEEN ATRAY
  • NPI Number: 1134182561
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0929908
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MANZANITA DIALYSIS CENTER
Street 4005 MANZANITA AVE, STE #17
City CARMICHAEL
State CA
ZIP 95608
Phone 916 483-3241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAVEEN ATRAY

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This page was last updated on: 9/29/2025