05D2034270 CLIA NUMBER - FREMONT DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2034270
  • Facility Name: FREMONT DIALYSIS
  • Facility Address: 2599 STEVENSON BLVD
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 796-4385
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEANIE AHN MD
  • NPI Number: 1407130602
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2034270
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREMONT DIALYSIS
Street 2599 STEVENSON BLVD
City FREMONT
State CA
ZIP 94538
Phone 510 796-4385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEANIE AHN MD

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