CLIA lab

CLIA 05D0891550: Mountain Manor

Carmichael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0891550 belongs to Mountain Manor in Carmichael, CA.

Certificate of Waiver, effective September 12, 2026, expires September 11, 2028.

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
September 12, 2026
Certificate expiration
September 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 1994
Facility type
Skilled nursing or nursing 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
05D0891550
Lab name
Mountain Manor
Address
6101 Fair Oaks Blvd, Carmichael, CA 95608
Phone
(916) 488-7211

Annual test volume the lab reported

Waived tests
365

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Carmichael, CA

Related

Questions

What is the CLIA number for Mountain Manor in Carmichael?

05D0891550, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mountain Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0891550 expire?

The CMS file lists September 11, 2028 as the certificate expiration date; the certificate took effect September 12, 2026.

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