CLIA lab

CLIA 05D1003463: Pacific Eye Institute

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

CLIA number 05D1003463 belongs to Pacific Eye Institute in Upland, CA.

Certificate of Waiver, effective August 30, 2026, expires August 29, 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
August 30, 2026
Certificate expiration
August 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 30, 2002
Facility type
Community clinic
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
05D1003463
Lab name
Pacific Eye Institute
Address
555 N 13th Avenue, Upland, CA 91786
Phone
(909) 982-8846
Fax
(909) 982-4007

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Upland, CA

Related

Questions

What is the CLIA number for Pacific Eye Institute in Upland?

05D1003463, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pacific Eye Institute hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1003463 expire?

The CMS file lists August 29, 2028 as the certificate expiration date; the certificate took effect August 30, 2026.

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