CLIA lab
CLIA 05D0697649: Beaver Medical Group PC
San Bernardino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0697649 belongs to Beaver Medical Group PC in San Bernardino, CA.
Certificate of Waiver, effective November 13, 2025, expires November 12, 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
- November 13, 2025
- Certificate expiration
- November 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0697649
- Lab name
- Beaver Medical Group PC
- Additional name
- San Bernardino
- Address
- 1700 N Waterman Ave, San Bernardino, CA 92404
- Phone
- (909) 786-0844
- Fax
- (909) 583-2613
Annual test volume the lab reported
- Waived tests
- 2,450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Bernardino, CA
- Advanced DermatologyCertificate of Compliance, Physician office05D2085668
- Advanced Healthcare for WomenCertificate of Waiver, Other practitioner05D2301657
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D2172605
- Alejandro Pediatrics IncCertificate of Waiver, Physician office05D0980884
- All Ives Matter HospiceCertificate of Waiver, Hospice05D2197088
- All in One Home Health Agency IncCertificate of Waiver, Home health agency05D2041505
- Ally Hospice CorporationCertificate of Waiver, Hospice05D2163100
- Alta Hospice of CaliforniaCertificate of Waiver, Hospice05D2274268
- Amalfi Hospice Care, IncCertificate of Waiver, Hospice05D2160118
- Apple Urgent CareCertificate of Waiver, Physician office05D2284437
Related
Questions
What is the CLIA number for Beaver Medical Group PC in San Bernardino?
05D0697649, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Medical Group PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0697649 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.