CLIA lab
CLIA 05D2089418: Bethel Family Medical Group
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2089418 belongs to Bethel Family Medical Group in Fullerton, CA.
Certificate of Waiver, effective December 30, 2024, expires December 29, 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 30, 2024
- Certificate expiration
- December 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 2014
- 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
- 05D2089418
- Lab name
- Bethel Family Medical Group
- Address
- 720 N Harbor Blvd Ste B, Fullerton, CA 92832
- Phone
- (714) 878-8817
- Fax
- (714) 739-4076
Annual test volume the lab reported
- Waived tests
- 3,000
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 Bethel Family Medical Group in Fullerton?
05D2089418, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethel Family Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2089418 expire?
The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.