CLIA lab
CLIA 05D0894885: Beverly Pediatric Medical Group Inc
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0894885 belongs to Beverly Pediatric Medical Group Inc in Montebello, CA.
Certificate of Waiver, effective May 3, 2026, expires May 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 1994
- 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
- 05D0894885
- Lab name
- Beverly Pediatric Medical Group Inc
- Address
- 1417 W Beverly Blvd Ste 102, Montebello, CA 90640
- Phone
- (323) 728-3270
- Fax
- (323) 728-2141
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montebello, CA
- A Shawn Adhami MD A Professional CorpCertificate of Waiver, Physician office05D1033024
- Adventist Health White MemorialCertificate of Accreditation, Hospital05D0552242
- Adventist Health White MemorialCertificate of Waiver, Hospital05D0925580
- Adventist Health White Memorial Montebello CenterCertificate of Waiver, Other05D2313057
- Arbelos1 LLCCertificate of Accreditation, Independent05D2309204
- Art Vascular & Intervention Associates, IncCertificate of Waiver, Physician office05D2333140
- Atlantis Surgery Center MontebelloCertificate of Waiver, Ambulatory surgery center05D1097693
- Bertha A Gonzalez DO IncCertificate of Waiver, Physician office05D0955422
- BeverlycareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2054780
- Bluff RD DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2080355
Related
Questions
What is the CLIA number for Beverly Pediatric Medical Group Inc in Montebello?
05D0894885, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beverly Pediatric Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0894885 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.