CLIA lab
CLIA 05D2087594: Beaver Medical Group PC, Fontana
Fontana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2087594 belongs to Beaver Medical Group PC, Fontana in Fontana, CA.
Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.
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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2014
- 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
- 05D2087594
- Lab name
- Beaver Medical Group PC, Fontana
- Address
- 17051 Sierra Lakes Pkwy Ste 103, Fontana, CA 92336
- Phone
- (909) 786-0844
- Fax
- (909) 583-2613
Annual test volume the lab reported
- Waived tests
- 160
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fontana, CA
- Alav Medical CorporationCertificate of Waiver, Physician office05D1079199
- Alternate AvenuesCertificate of Waiver, Community clinic05D1033050
- Amazonite Treatment CenterCertificate of Waiver, Other05D2325964
- Arrowhead Family Health Center - FontanaCertificate for Provider-Performed Microscopy Procedures, Physician office05D2160075
- Auto Club Speedway (Medical First Aid Station)Certificate of Waiver, Other05D2091643
- Benny J Guzman MDCertificate of Waiver, Physician office05D1036649
- Citrus Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility05D0875230
- Cobblestone HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2085173
- Comprehensive Primary Care Medical Assoc IncCertificate of Waiver, Physician office05D1089961
- Comprehensive Primary Care Medical Associates, IncCertificate of Waiver, Physician office05D2068750
Related
Questions
What is the CLIA number for Beaver Medical Group PC, Fontana in Fontana?
05D2087594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Medical Group PC, Fontana hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2087594 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.