05D1082128 CLIA NUMBER - FRESNO AT HOME CENTER

Laboratory Demographics

  • CLIA Code: 05D1082128
  • Facility Name: FRESNO AT HOME CENTER
  • Facility Address: 6121 N THESTA ST, STE 102
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 448-0127
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YANGMING CAO
  • NPI Number: 1073705018
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1082128
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESNO AT HOME CENTER
Street 6121 N THESTA ST, STE 102
City FRESNO
State CA
ZIP 93710
Phone 559 448-0127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YANGMING CAO

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