CLIA lab
CLIA 05D2091090: Customized Vision Care
Brea, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2091090 belongs to Customized Vision Care in Brea, CA.
Certificate of Waiver, effective February 5, 2025, expires February 4, 2027.
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
- February 5, 2025
- Certificate expiration
- February 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2015
- 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
- 05D2091090
- Lab name
- Customized Vision Care
- Address
- 428 S Brea Blvd, Brea, CA 92821
- Phone
- (714) 529-2470
- Fax
- (866) 801-4739
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.
Other labs in Brea, CA
- A Thomas Parsa MDCertificate of Waiver, Physician office05D0963245
- Adobe PH Ca Medical Group PCCertificate of Waiver, Other05D2313060
- Amberkare Home Health IncCertificate of Waiver, Home health agency05D2147857
- Brea Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0715175
- Brea Hills RecoveryCertificate of Waiver, Other05D2347545
- Brea Urgent Care IncCertificate of Waiver, Other05D2063027
- Brookdale BreaCertificate of Waiver, Assisted living facility05D2212222
- CaprianaCertificate of Waiver, Assisted living facility05D2212255
- Csi Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D1071110
- David Oliak MD, IncCertificate of Compliance, Physician office05D2305080
Related
Questions
What is the CLIA number for Customized Vision Care in Brea?
05D2091090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Customized Vision Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2091090 expire?
The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.