CLIA lab
CLIA 05D2160430: Heritage Victor Valley Medical Group
Big Bear Lake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2160430 belongs to Heritage Victor Valley Medical Group in Big Bear Lake, CA.
Certificate of Waiver, effective January 10, 2025, expires January 9, 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
- January 10, 2025
- Certificate expiration
- January 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2019
- 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
- 05D2160430
- Lab name
- Heritage Victor Valley Medical Group
- Address
- 42002 Fox Farm Road Suite 201, Big Bear Lake, CA 92315
- Phone
- (909) 878-8000
- Fax
- (909) 878-5203
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Big Bear Lake, CA
- Anupama Sharma Md,incCertificate of Waiver, Physician office05D2322574
- Bear Valley Community Health Care DistrictCertificate of Accreditation, Hospital05D0061030
- Bear Valley Community HealthcareCertificate of Waiver, Rural health clinic05D0963288
- Bear Valley Community HospitalCertificate of Accreditation, Hospital05D0698083
- Big Bear Urgent Care, IncCertificate of Waiver, Other05D1066900
- Lactation Consultants of AmericaCertificate of Waiver, Rural health clinic05D2334011
Related
Questions
What is the CLIA number for Heritage Victor Valley Medical Group in Big Bear Lake?
05D2160430, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heritage Victor Valley Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2160430 expire?
The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.