Email us your manifest records and get an exact quote for your bill with Eco Medical
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Biohazards are commonly referred to by health administration as “red bag waste.” This is any waste which has been contaminated with blood or other potentially infectious materials. Examples include blood products, body fluids contaminated with blood, and equipment that came into contact with blood.
Pharmaceuticals are any unused over the counter medications that go unused. Examples include pills, injectables, and antibiotics.
Sharps are medical devices capable of piercing the skin. Used sharps contain potentially infectious materials and it is important they are handled and disposed of properly. Examples include discarded needles, syringes, scalpels, and more.
Chemotherapy waste is any waste that came into contact with chemotherapeutic agents. Examples include IV bags, personal protective equipment that came into contact with chemotherapy agents, and empty vials.
Pathological Waste is any tissues, organs, body parts, or materials involved in a medical procedure like surgery. Examples include animal carcasses, organs, tissues, human body parts, etc.
Hazardous waste is anything classified as hazardous by the RCRA. This can be cleaning solvents, biohazards, certain chemicals, pharmaceuticals, and more found within healthcare facilities.
Servicing Fresno and surrounding areas since 2013
Servicing 74 medical facilities in Fresno!
We offer biohazard and medical waste disposal services throughout California, including:
WE SERVICE ALL OF CALIFORNIA
Eco Medical Waste provides comprehensive medical waste disposal services to healthcare facilities throughout Fresno and the greater Central Valley. Our services include biohazardous red bag waste pickup, sharps container disposal, pharmaceutical waste management, chemotherapy waste handling, pathological waste removal, and RCRA hazardous waste disposal. Whether you operate a single-provider family practice or a multi-location healthcare system, we supply compliant biohazard bins, sharps containers, and pharmaceutical waste containers in a full range of sizes — and we build a pickup schedule around your facility's waste volume, not a one-size-fits-all route. Every client receives a compliance portal with digital manifests, certificates of destruction, and real-time tracking so your records are always audit-ready.
Since 2013, Eco Medical has focused exclusively on California medical waste — and Fresno has been one of our strongest service areas from the start. We currently serve 74 medical facilities across Fresno and its surrounding communities, and our drivers are on the road in the Central Valley every week. Because we operate only within California, our team has deep, practical knowledge of the Medical Waste Management Act (MWMA) and the specific compliance requirements enforced by the California Department of Public Health and Fresno County Environmental Health. When you call (707) 840-3423, you reach a real person who knows your area, your regulations, and your account — no call centers, no phone trees, no out-of-state reps.
Fresno is the economic and healthcare hub of California's Central Valley, home to major facilities including Community Regional Medical Center — the region's only Level I trauma center — Saint Agnes Medical Center, Kaiser Permanente Fresno Medical Center, Clovis Community Medical Center, and the VA Central California Health Care System. Beyond the major hospitals, thousands of physicians, dentists, veterinarians, urgent care clinics, surgical centers, laboratories, and skilled nursing facilities operate across Fresno's diverse neighborhoods — from the Tower District and downtown Fresno to Fig Garden, Woodward Park, and northeast Fresno, and into neighboring communities such as Clovis, Madera, Sanger, Selma, Reedley, Kingsburg, Dinuba, Visalia, Tulare, Hanford, and Lemoore. Eco Medical is proud to serve this vibrant healthcare community with local, affordable, fully compliant medical waste disposal.

Readily available local service representatives - When you call Eco Medical, it rings straight to our phone numbers. You will never have to press any buttons, wait on hold, or talk to someone who is located in another state and does not know you. You call us and you get us. It’s that simple.
Lower prices - Switching to a local service like Eco Medical can save you 34% or more on medical waste services.
No Hidden Fees - What you are quoted is what you will pay. Your price is locked in for the term of our agreement and there will never be any additional cost on your bill.
Experience - With 10 years of California medical waste handling experience, you can trust us with your waste collection and disposal.
We service medical waste for hospitals, health centers, surgery centers, skilled nursing facilities, laboratories, urgent care clinics, and any other medical waste generator in need of medical waste disposal in California.
We service all of California & regularly service medical waste in Fresno, Clovis, Madera, & surrounding areas.
We supply biohazard bins to all of the practices we serve. We also have an array of containers in a variety of sizes available for purchase including sharps containers, pharmaceutical waste containers, hazardous waste containers, and more.
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Communicate with a local service representative about your infectious waste generation details.
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Get a free quote for pickups at a service frequency that works best for you.
3.
Receive your compliance login information where you can easily access manifests for tracking and certificates of destruction for your records.
4.
Receive your first date of service where you will get your medical waste containers and we will collect any biomedical waste generated.
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Enjoy stress free pickups on a set schedule or convenient on call pickups depending on the solution you chose
Call or Email Us Today!

Medical waste disposal in Fresno, California is governed by a multi-layered regulatory framework that includes federal OSHA standards, California state law, and local Fresno County health codes. Understanding these requirements is essential for every healthcare facility in the Fresno area.
The Medical Waste Management Act (California Health and Safety Code Sections 117600–118360) is the primary state law governing the generation, handling, storage, transportation, treatment, and disposal of medical waste in California. Key provisions that apply to Fresno facilities include:
• Generator registration: All medical waste generators in Fresno must register with the California Department of Public Health (CDPH) and maintain current registration.
• Segregation requirements: Biohazardous waste, sharps waste, pathological waste, pharmaceutical waste, and chemotherapy waste must each be segregated into their designated containers with proper labeling.
• Storage time limits: Medical waste may not be stored at the point of generation for more than 7 days unless the facility qualifies for the 30-day small quantity generator exemption (fewer than 200 pounds per month).
• Container standards: Sharps must be placed in rigid, puncture-resistant, sealable containers labeled with "SHARPS WASTE" or the biohazard symbol. Red bags for biohazardous waste must be tied and placed in approved, leak-proof biohazard bins. Containers must not be filled beyond the ¾ mark.
• Bilingual labeling: Biohazard warning labels must be legible from 25 feet and displayed in both English and Spanish.
• Tracking documents: A completed medical waste tracking document must accompany every shipment and be retained by the generator for at least three years.
The Fresno County Department of Public Health — Environmental Health Division conducts inspections of healthcare facilities and medical waste generators within Fresno County. They enforce provisions of the MWMA at the local level and investigate complaints related to improper medical waste storage, labeling, or disposal.
Fresno County Environmental Health:
Phone: (559) 600-3271
Address: 1221 Fulton Street, Fresno, CA 93721
The CDPH Medical Waste Management Program oversees statewide compliance and issues hauler permits, treatment facility permits, and generator registrations. Their Medical Waste Program page provides forms, guidance documents, and regulatory updates relevant to Fresno-area generators.
The City of Fresno Public Utilities Department maintains a Hazardous Waste and Sharps Disposal resource page that provides guidance for residents and small businesses on proper disposal of household sharps and hazardous materials. This resource is particularly useful for home healthcare patients and small generators who may not require commercial medical waste service.
Federal OSHA's Bloodborne Pathogens Standard applies to all Fresno employers whose workers have occupational exposure to blood or other potentially infectious materials. Requirements include an Exposure Control Plan, employee training, provision of personal protective equipment, and proper handling of contaminated sharps and regulated waste. Cal/OSHA enforces this standard in California.
Navigating the intersection of federal, state, and county regulations can be overwhelming — especially for smaller practices without a dedicated compliance officer. Eco Medical offers complimentary compliance support to our Fresno clients, including:
• Facility walkthroughs to identify labeling, storage, and segregation issues before an inspector does.
• Waste audits to reduce the volume of regulated waste your facility generates, lowering both your compliance risk and your disposal costs.
• Container labeling guidance and supplies that meet MWMA bilingual signage requirements.
• Digital manifest access through our online compliance portal so your tracking documents are always organized and audit-ready.
• Staff education on proper waste segregation, container handling, and emergency spill procedures.
We have maintained a 100% compliance rating since our founding in 2013. When you partner with Eco Medical, you are not just hiring a hauler — you are adding a compliance resource to your team.
For compliance questions or to schedule a free facility walkthrough in Fresno, call (707) 840-3423.
• California Department of Public Health — Medical Waste Management Program
• Fresno County Environmental Health Division: (559) 600-3271, 1221 Fulton Street, Fresno, CA 93721
• City of Fresno — Hazardous Waste & Sharps Disposal
• CDPH Medical Waste Management Act
• CalRecycle Pharmaceutical and Sharps Waste Stewardship
For home-generated sharps disposal in
Fresno
, you can take sharps containers to:
(559) 621-4199
911 H Street, Fresno, CA 93721
(559) 324-2800
1233 5th Street, Clovis, CA 93612
(559) 621-7000
1450 E Teague Avenue, Fresno, CA 93720
(559) 600-3111
2200 Fresno St. Fresno CA
2323 Mariposa St. Fresno CA
Healthcare facilities across Fresno and the Central Valley consistently overpay for medical waste disposal — often by thousands of dollars per year — when they use large national waste haulers. Eco Medical Waste was founded in 2013 specifically to give California practices a local, transparent, and more affordable alternative. Today we serve over 1,500 medical facilities statewide, including 74 in the Fresno area alone, and our clients save an average of 34% or more compared to their previous provider.
The table below shows representative annual savings that Fresno-area practices have realized after switching to Eco Medical:
• Family Practice in Downtown / Tower District (93701) — $1,440/year savings
• Dental Office in Fig Garden / North Fresno (93710) — $1,860/year savings
• Urgent Care Clinic in Woodward Park / NE Fresno (93720) — $2,520/year savings
• Veterinary Hospital in Bullard / West Shaw (93711) — $1,680/year savings
• Surgical Center in Central Fresno / Fulton District (93721) — $4,200/year savings
• Dermatology Practice in Old Town Clovis (93611) — $1,920/year savings
• OB/GYN Office in Clovis / Tarpey Village (93612) — $1,560/year savings
• Skilled Nursing Facility in South Fresno (93706) — $3,600/year savings
• Pediatrics Practice in West Fresno / Highway City (93722) — $1,344/year savings
• Internal Medicine in McLane / Sunnyside (93726) — $1,740/year savings
• Multi-Specialty Clinic in SE Fresno / Malaga (93727) — $2,880/year savings
• Optometry Office in Van Ness Extension (93703) — $1,200/year savings
• Physical Therapy Clinic in Madera (93637) — $1,440/year savings
• Large Medical Group in Visalia (93291) — $5,400/year savings
• Community Health Clinic in Hanford (93230) — $2,160/year savings
To receive an exact, line-item quote for your facility, email your current manifest records to sales@ecomedicalwaste.com or call us directly at (707) 840-3423.
Eco Medical provides scheduled and on-call medical waste pickups throughout Fresno County and the broader Central Valley. Our regular service territory includes:
Fresno City Neighborhoods & Communities: Downtown Fresno, Tower District, Fulton District, Fig Garden, Woodward Park, Bullard, Northeast Fresno, Southeast Fresno, West Fresno, South Fresno, Highway City, Pinedale, Tarpey Village, McLane, Sunnyside, Malaga, Calwa, Roosevelt, Roeding Park area, Van Ness Extension, Fresno High area, and all areas within Fresno city limits.
Fresno County & Surrounding Cities: Clovis, Madera, Sanger, Selma, Reedley, Kingsburg, Parlier, Orange Cove, Kerman, Coalinga, Firebaugh, Mendota, San Joaquin, Fowler, Caruthers, Easton, Friant, Auberry, Prather, and Shaver Lake.
Extended Central Valley Coverage: Visalia, Tulare, Hanford, Lemoore, Porterville, Dinuba, Exeter, Lindsay, Woodlake, Three Rivers, Merced, Los Baños, Chowchilla, Atwater, Livingston, Turlock, Modesto, and throughout Fresno, Tulare, Kings, Madera, and Merced counties.
No matter where your facility is located in the Central Valley, Eco Medical can build a pickup schedule that keeps you compliant and saves you money.
The Fresno metropolitan area is the medical hub for roughly 1.3 million Central Valley residents. Community Regional Medical Center, operated by Community Health System, is the region's only Level I trauma center and one of the largest hospitals in California, with over 800 beds. Saint Agnes Medical Center provides comprehensive care in north Fresno, while Kaiser Permanente Fresno Medical Center serves one of the largest Kaiser membership populations in the state. Clovis Community Medical Center expanded significantly in recent years to meet the booming population in eastern Fresno County, and the VA Central California Health Care System in Fresno serves thousands of veterans across a multi-county region.
Supporting this hospital infrastructure are hundreds of outpatient clinics, ambulatory surgical centers, dental offices, optometry practices, dialysis centers, home health agencies, skilled nursing facilities, and research laboratories — all of which generate regulated medical waste that must be collected, transported, treated, and disposed of in compliance with California law. Fresno County Environmental Health and the California Department of Public Health conduct inspections and enforce the Medical Waste Management Act across all of these facilities.
Eco Medical currently provides medical waste disposal services to 74 of these Fresno-area healthcare facilities, ranging from solo dental practices in Old Town Clovis to multi-physician specialty groups in northeast Fresno, and we are actively expanding our Central Valley client base.
Large national medical waste companies — including Stericycle and others — dominate market share through long-term contracts, automatic price escalations, and complex fee structures that make it difficult for practices to know what they are actually paying. Many Fresno facilities that contact us report annual price increases of 5–15% from their national provider, hidden fuel surcharges, container rental fees, and regulatory compliance fees that were never disclosed at signup.
Here is what Eco Medical does differently:
• Locked-in pricing. Your quoted rate is your rate for the full term of the agreement. We do not add fuel surcharges, environmental fees, container rental charges, or any other line items after the fact.
• Local service representatives. When you call (707) 840-3423, you speak directly with our California-based team. No call center. No hold music. No transfers to another department.
• California-only expertise. We operate exclusively in California, which means our entire operation is built around the Medical Waste Management Act, CDPH enforcement standards, and the specific compliance needs of California generators — including Fresno County requirements.
• 100% compliance record. Since our founding in 2013, Eco Medical has maintained a 100% compliance rating and a 99% client retention rate. We don't just haul waste — we help you stay compliant through facility walkthroughs, waste audits, proper container labeling, and staff guidance.
• Flexible scheduling. Choose a set pickup schedule (weekly, biweekly, monthly) or call us for on-demand pickups when your waste volume fluctuates. We build the service around your facility, not around our truck routes.
Fresno County generates a significant volume of regulated medical waste due to its concentration of healthcare facilities, agricultural industry health services, and its role as a regional referral center for specialized care. Key considerations for Fresno-area generators include:
• Storage limits: Under the MWMA, small quantity generators (fewer than 200 pounds per month) may store medical waste for up to 30 days. Larger generators must arrange more frequent pickups.
• Biohazard labeling: All biohazard containers in California must display the universal biohazard symbol and the word "BIOHAZARD" in lettering legible from at least 25 feet, in both English and Spanish.
• Tracking documents: Every medical waste shipment from a Fresno facility must be accompanied by a completed tracking document (manifest) signed by both the generator and the hauler. Eco Medical provides digital manifests through our compliance portal for easy record-keeping.
• Treatment requirements: Biohazardous and sharps waste collected in Fresno is transported to licensed treatment facilities where it is autoclaved or incinerated in accordance with CDPH standards. Pharmaceutical and chemotherapy waste is sent to permitted incineration facilities.
• Penalties: Violations of the MWMA can result in civil penalties of up to $25,000 per day per violation, plus potential criminal liability. Partnering with a compliant hauler like Eco Medical is the most effective way to protect your facility.
Eco Medical Waste is committed to providing Fresno and Central Valley healthcare facilities with safe, affordable, and fully compliant medical waste disposal. To learn how much your practice can save, call us at (707) 840-3423 or email sales@ecomedicalwaste.com for a free, no-obligation quote.