05D2122030 CLIA NUMBER - LONE TREE RANCH DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2122030
  • Facility Name: LONE TREE RANCH DIALYSIS
  • Facility Address: 4040 LONE TREE WAY
    ANTIOCH, CA
    ZIP 94531
  • Facility Phone: 925 777-3356
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN NG
  • NPI Number: 1821444258
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2122030
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONE TREE RANCH DIALYSIS
Street 4040 LONE TREE WAY
City ANTIOCH
State CA
ZIP 94531
Phone 925 777-3356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LAUREN NG

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