CLIA lab

CLIA 05D2178589: Beaver Medical Group PC

Vista, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2178589 belongs to Beaver Medical Group PC in Vista, CA.

Certificate of Waiver, effective February 5, 2026, expires February 4, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 5, 2026
Certificate expiration
February 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 5, 2020
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
05D2178589
Lab name
Beaver Medical Group PC
Additional name
Vista Obgyn
Address
2067 West Vista Way Ste 200, Vista, CA 92083
Phone
(909) 786-0844
Fax
(909) 583-2613

Annual test volume the lab reported

Waived tests
3,360

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Vista, CA

Related

Questions

What is the CLIA number for Beaver Medical Group PC in Vista?

05D2178589, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beaver Medical Group PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2178589 expire?

The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.

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