CLIA lab
CLIA 05D1079436: Saint Agnes Medical Center Wound,
Fresno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1079436 belongs to Saint Agnes Medical Center Wound, in Fresno, CA.
Certificate of Waiver, effective January 31, 2026, expires January 30, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 31, 2026
- Certificate expiration
- January 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 2008
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1079436
- Lab name
- Saint Agnes Medical Center Wound,
- Additional name
- Ostomy & Hyperbaric Center
- Address
- 7015 N Maple Ave, Ste 101, Fresno, CA 93720
- Phone
- (559) 450-3456
- Fax
- (559) 450-5471
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Saint Agnes Medical Center Wound, in Fresno?
05D1079436, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Saint Agnes Medical Center Wound, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1079436 expire?
The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.