05D0720545 CLIA NUMBER - BEA MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D0720545
  • Facility Name: BEA MEDICAL GROUP, INC
  • Facility Address: 10070 PASADENA AVE STE 2
    CUPERTINO, CA
    ZIP 95014
  • Facility Phone: 408 746-0300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LAURA STEVENS MD
  • NPI Number: 1679533780
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0720545
LAB Type Physician Office
Facility Name BEA MEDICAL GROUP, INC
Street 10070 PASADENA AVE STE 2
City CUPERTINO
State CA
ZIP 95014
Phone 408 746-0300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/4/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director LAURA STEVENS MD

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This page was last updated on: 9/29/2025