05D1018989 CLIA NUMBER - ASH TREE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1018989
  • Facility Name: ASH TREE DIALYSIS
  • Facility Address: 2666 N GROVE INDUSTRIAL DR, STE 106
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 251-1919
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PANKAJ RAM
  • NPI Number: 1710939863
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1018989
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ASH TREE DIALYSIS
Street 2666 N GROVE INDUSTRIAL DR, STE 106
City FRESNO
State CA
ZIP 93727
Phone 559 251-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PANKAJ RAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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