05D2029679 CLIA NUMBER - FREMONT AT HOME

Laboratory Demographics

  • CLIA Code: 05D2029679
  • Facility Name: FREMONT AT HOME
  • Facility Address: 39355 CALIFORNIA ST, 1ST FL
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 494-1348
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CLIFFORD WONG
  • NPI Number: 1730472507
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2029679
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREMONT AT HOME
Street 39355 CALIFORNIA ST, 1ST FL
City FREMONT
State CA
ZIP 94538
Phone 510 494-1348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CLIFFORD WONG

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