CLIA lab
CLIA 05D1059571: Kevin Khai Tieu, MD
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1059571 belongs to Kevin Khai Tieu, MD in Fountain Valley, CA.
Certificate of Waiver, effective October 3, 2024, expiration date October 2, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 3, 2024
- Certificate expiration
- October 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2006
- 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
- 05D1059571
- Lab name
- Kevin Khai Tieu, MD
- Address
- 16543 Brookhurst St, Fountain Valley, CA 92708
- Phone
- (714) 418-9749
- Fax
- (714) 418-1047
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
Questions
What is the CLIA number for Kevin Khai Tieu, MD in Fountain Valley?
05D1059571, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kevin Khai Tieu, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1059571 expire?
The CMS file lists October 2, 2026 as the certificate expiration date; the certificate took effect October 3, 2024.