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05D1097156 CLIA NUMBER - KAMRAS & POLANSKY MEDICAL CORPORATION DBA CAMELLIA WOMEN'S HEALTH

Laboratory Demographics

CLIA Number: 05D1097156

Facility Name: KAMRAS & POLANSKY MEDICAL CORPORATION DBA CAMELLIA WOMEN'S HEALTH

Facility Address:
621 CAPITAL MALL #950
SACRAMENTO, CA
ZIP 95814
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Facility Phone Number: 916 486-0411

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1073578134

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 05D1097156
LAB Type Physician Office
Facility Name KAMRAS & POLANSKY MEDICAL CORPORATION DBA CAMELLIA WOMEN'S HEALTH
Street 621 CAPITAL MALL #950
City SACRAMENTO
State CA
ZIP 95814
Phone 916 486-0411
CertificateType 3
CertificateEffectiveDate 3/19/2023
CertificateExpirationDate 3/18/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024