CLIA lab

CLIA 05D1103384: Anita Sivasubramanian, MD Inc

Fresno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1103384 belongs to Anita Sivasubramanian, MD Inc in Fresno, CA.

Certificate of Waiver, effective August 10, 2025, expires August 9, 2027.

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
August 10, 2025
Certificate expiration
August 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 10, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
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
05D1103384
Lab name
Anita Sivasubramanian, MD Inc
Address
7035 N Chestnut Ave, Suite 105, Fresno, CA 93720
Phone
(559) 353-2300
Fax
(559) 353-2323

Annual test volume the lab reported

Waived tests
500

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 Anita Sivasubramanian, MD Inc in Fresno?

05D1103384, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Anita Sivasubramanian, MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1103384 expire?

The CMS file lists August 9, 2027 as the certificate expiration date; the certificate took effect August 10, 2025.

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