CLIA lab
CLIA 05D2122030: Lone Tree Ranch Dialysis
Antioch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2122030 belongs to Lone Tree Ranch Dialysis in Antioch, CA.
Certificate of Waiver, effective November 17, 2024, expires November 16, 2026.
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
- November 17, 2024
- Certificate expiration
- November 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2016
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2122030
- Lab name
- Lone Tree Ranch Dialysis
- Address
- 4040 Lone Tree Way, Antioch, CA 94531
- Phone
- (925) 777-3356
- Fax
- (925) 777-3379
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Lone Tree Ranch DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Lone Tree Ranch Dialysis in Antioch?
05D2122030, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lone Tree Ranch Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2122030 expire?
The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.