CLIA lab
CLIA 05D2070597: Coastal Vision Medical Group, Inc.
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2070597 belongs to Coastal Vision Medical Group, Inc. in Irvine, CA.
Certificate of Waiver, effective August 18, 2026, expires August 17, 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 18, 2026
- Certificate expiration
- August 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2013
- 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
- 05D2070597
- Lab name
- Coastal Vision Medical Group, Inc.
- Address
- 15825 Laguna Canyon Rd Ste 201, Irvine, CA 92618
- Phone
- (714) 771-1213
- Fax
- (714) 771-7126
Annual test volume the lab reported
- Waived tests
- 2,000
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 Coastal Vision Medical Group, Inc. in Irvine?
05D2070597, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Vision Medical Group, Inc. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2070597 expire?
The CMS file lists August 17, 2028 as the certificate expiration date; the certificate took effect August 18, 2026.