CLIA lab
CLIA 36D2130755: Custom Eyes Family Optometry, Inc
Lancaster, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2130755 belongs to Custom Eyes Family Optometry, Inc in Lancaster, OH.
Certificate of Waiver, effective May 17, 2025, expires May 16, 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
- May 17, 2025
- Certificate expiration
- May 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2017
- 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
- 36D2130755
- Lab name
- Custom Eyes Family Optometry, Inc
- Address
- 1611 Tiki Ln, Lancaster, OH 43130
- Phone
- (740) 687-1555
- Fax
- (740) 687-1691
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 Custom Eyes Family Optometry, Inc in Lancaster?
36D2130755, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Custom Eyes Family Optometry, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2130755 expire?
The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.