CLIA lab
CLIA 05D1065044: Beaver Medical Group PC,
Banning, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1065044 belongs to Beaver Medical Group PC, in Banning, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 20, 2025, expires February 19, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2007
- 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
- 05D1065044
- Lab name
- Beaver Medical Group PC,
- Additional name
- Banning Primary Care Center
- Address
- 5957 W Ramsey St, Banning, CA 92220
- Phone
- (562) 988-7000
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 Beaver Medical Group PC, in Banning?
05D1065044, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Medical Group PC, hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1065044 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.