05D2043939 CLIA NUMBER - HERNDON DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2043939
  • Facility Name: HERNDON DIALYSIS
  • Facility Address: 560 E HERNDON AVE STE 101
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 432-5278
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MEI TSUEY HWANG
  • NPI Number: 1659647808
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2043939
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HERNDON DIALYSIS
Street 560 E HERNDON AVE STE 101
City FRESNO
State CA
ZIP 93720
Phone 559 432-5278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MEI TSUEY HWANG

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