05D2106963 CLIA NUMBER - BEAVER MEDICAL GROUP PC

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CLIA Record

Field Name Field Value
CLIA Number 05D2106963
LAB Type Physician Office
Facility Name BEAVER MEDICAL GROUP PC
Street 245 TERRACINA BLVD
City REDLANDS
State CA
ZIP 92373
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director CHARLES H. YOH

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