05D1033924 CLIA NUMBER - BEAVER MEDICAL GROUP PC, CARLSBAD JEFFERSON ST

Laboratory Demographics

  • CLIA Code: 05D1033924
  • Facility Name: BEAVER MEDICAL GROUP PC, CARLSBAD JEFFERSON ST
  • Facility Address: 2910 JEFFERSON ST STE 100
    CARLSBAD, CA
    ZIP 92008
  • Facility Phone: 909 786-0844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE D. WONG
  • NPI Number: 1831103381
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1033924
LAB Type Physician Office
Facility Name BEAVER MEDICAL GROUP PC, CARLSBAD JEFFERSON ST
Street 2910 JEFFERSON ST STE 100
City CARLSBAD
State CA
ZIP 92008
Phone 909 786-0844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director LAWRENCE D. WONG

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