05D0932652 CLIA NUMBER - ARNOLD GREENBERG MD INC DBA MANZANITA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0932652
  • Facility Name: ARNOLD GREENBERG MD INC DBA MANZANITA MEDICAL CLINIC
  • Facility Address: 5810 JAMESON COURT
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 979-0621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAVEL POLSKIY MD
  • NPI Number: 1700977188
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D0932652
LAB Type Physician Office
Facility Name ARNOLD GREENBERG MD INC DBA MANZANITA MEDICAL CLINIC
Street 5810 JAMESON COURT
City CARMICHAEL
State CA
ZIP 95608
Phone 916 979-0621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director PAVEL POLSKIY MD

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