05D2117785 CLIA NUMBER - THE NEPHROLOGY GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2117785
  • Facility Name: THE NEPHROLOGY GROUP INC
  • Facility Address: 568 E HERNDON AVE STE 201
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 228-6600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVE W. SU
  • NPI Number: 1205906229
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2117785
LAB Type Physician Office
Facility Name THE NEPHROLOGY GROUP INC
Street 568 E HERNDON AVE STE 201
City FRESNO
State CA
ZIP 93720
Phone 559 228-6600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director STEVE W. SU

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