Medical clinics and healthcare facilities (including clinics, outpatient centers, imaging and surgical centers) are typically classified as high hazard (health hazard) premises due to the presence of:
- biological materials and bodily fluids
- chemical disinfectants and sterilants
- radiographic and imaging chemicals
- laboratory reagents and sample handling
- specialized equipment with direct water connections
- complex plumbing and frequent remodels/tenant improvements
Most California water purveyors therefore require premises containment at the water service connection, and often require internal point-of-use protection for specific devices/equipment.
As a bonded and insured licensed contractors and certified backflow testing professionals specializing in the installation, testing and repair of commercial backflow prevention assemblies, Backflow Test Pros guarantees top-tier workmanship at the most competitive rates, provides backflow repair coverage and includes 2-year installation warranty to help you meet and exceed your medical clinic healthcare facility backflow installation, testing, repair compliance requirements.
Call for Your Free Medical Clinic Urgent Care Compliance Review to Qualify for
Installation Warranty, Best Value Testing, Repair Coverage & Multi-Device Discounts
Installing, testing and repair of backflow preventer devices in medical clinics is a critical component of California’s commitment to water quality protection from commercial properties connected to a public potable water system. Medical clinic cross connection and backflow prevention responsibilities are governed by and subject to CCR Title 17 cross-connection control expectations (as administered by water purveyors), The State Water Board’s Cross-Connection Control Policy Handbook (CCCPH) (statewide minimum program expectations), the local water purveyor cross-connection programs (hazard classification, device selection, enforcement), and California state plumbing code and equipment manufacturer requirements (air gaps/indirect waste, device-specific protections).
Medical clinic property owners and lessees are responsible for installation, testing, repair, and ongoing compliance.
Hiring Southern California's preferred certified backflow installation, testing and repair specialist to perform your medical clinic healthcare facility backflow prevention installation, testing and repair is key to ensuring compliance with state and municipal water department regulations.
Backflow Test Pros is 100% dedicated to ensuring your property meets local water authority medical clinics backflow installation, testing and repair requirements so you can avoid civil penalties and ensure your water is not turned off for noncompliance.
Ensure you're fully compliant with specific city, county and water districts backflow prevention requirements
Ensure your backflow assembly installation clears local permitting requirements and plans approvals
Ensure your installed backflow device is USC FCCCHR approved and meets hazard level requirements
Free initial backflow certification testing, same-day report submittal and backflow repair coverage
We provide the best value in Medical Clinic Healthlcare Facility backflow prevention installations, testing and repair services by combining competitive pricing with premium service, warranty coverage and unmatched expertise.
Backflow Test Pros is an AWWA Certified Backflow Tester and Certified Backflow Tester with County Health Departments across Southern California. As a CA State licensed contractor and AWWA Certified backflow specialists, our team of experienced backflow experts work with County Health Boards and Municipal Water Departments throughout Southern California to protect our water and prevent backflow contamination.
In California, medical clinic backflow preventer device installation, testing and repair is governed by a combination of state regulations and local ordinances, aiming to protect the public water supply from contamination.
The installation, inspection and testing of medical clinic backflow preventer devices are essential for ensuring the safety of drinking water from contamination by moderate to high hazard facilities at medical clinic healthcare properties.
Understanding the types of medical/healthcare facility backflow installation, testing, and maintenance requirements helps you avoid civil liabilities and ensures water safety compliance.
Backflow Risk at Medical Clinics Arise from the Following Facility Features:
- Sterilizers and autoclaves (high temp/pressure; chemical use)
- Laboratory sinks, aspirators, reagent feeds
- Dialysis systems (RO/DI systems, chemical cleaning cycles)
- Imaging processing / film chemistry (where still present) and other treatment chemicals
- Booster pumps, pressure zones, medical equipment water feeds
- Multiple hose connections, janitorial/mop sinks, chemical mixing
- Frequent renovations that change hazards over time
These conditions create backsiphonage and backpressure risk and raise the consequence severity (pathogens/chemicals).
Accordingly, Premises Containment at the Service Connection with a typical minimum requirement of a Reduced Pressure Principle Assembly on the domestic water service serving the facility. This type of backflow prevention device provides protection against both backsiphonage and backpressure and is required for health hazards or where internal cross-connections cannot be reliably controlled/inspected.
Many water purveyors will not accept a DCVA for a facility classified as medical/healthcare because the hazard classification is usually “health hazard,” triggering RP-level containment.
Even with Premise-Level Containment
Many Water Agencies and Plumbing Codes Require Device/Equipment Level Backflow Protection
- sterilizers, exam room sinks, lab sinks
- janitorial sinks and chemical mixing stations
- imaging equipment water feeds
- central sterile processing
- laboratories and pathology
- specialized HVAC/humidification, cooling towers
- extensive fire systems and multiple zones
- emergency eyewash/shower stations
- aspirators, vacuum systems
- chemical feed/mixing
- lab equipment water connections
- glass washers, sterilizers
Additionally, medical clinic healthcare facility landscaping irrigation backflow prevention and fire sprinkler backflow assemblies are generally required and subject to annual testing review.
Medical Facility Backflow Preventionn Enforcement & Penalties
Healthcare facilities are often treated as “sensitive” sites, so purveyors may enforce compliance aggressively and require rapid correction.
Local water purveyors typically:
- issue notices and compliance deadlines
- assess administrative penalties
- require cross-connection surveys/inspections
- terminate water service for failure to install/test/maintain required assemblies or for unresolved cross-connections
Additional Civil Liabilities
Property owners and medical clinic owners lessees are exposed to additional civil liabilities resulting from contamination in the event of failure to prevent backflow into the potable water resources used by other parties.

Because medical clinics and healthcare facilities typically have many High-Risk backflow containment conditions, it is important that you perform an extensive cross connection and backflow prevention compliance review to avoid penalties, water disruptions and civil liabilities.
Common Medical Office Deficiencies That Trigger Backflow Containment Violations
- sterilizers, exam room sinks, lab sinks
- janitorial sinks and chemical mixing stations
- imaging equipment water feeds (varies)
Typical protections:
- Premises containment RP (most common)
- Local protection for sterilizers/reprocessors if directly connected and required
- Hose connection protection throughout
- central sterile processing
- laboratories and pathology
- specialized HVAC/humidification, cooling towers
- extensive fire systems and multiple zones
- emergency eyewash/shower stations (depending on how supplied)
Call Us for Your Free Medical Clinic Urgent Care Backflow Compliance Review to Ensure
You are Not in Violation State or Local Backflow Prevention Requirements
1. Confirm premises hazard classification and containment device requirement (usually RP).
2. Identify high-risk internal equipment: sterilizers/autoclaves, dialysis RO/DI, labs, chemical mixing.
3. Verify fire-line backflow requirements (DCDA vs RPDA/RP).
4. Ensure all hose bibbs/janitorial connections have appropriate vacuum breakers/anti-siphon protection.
5. Test annually, and after any installation/repair/modification.
6. Submit reports on time; maintain internal compliance records.
7. Repair failures immediately and retest.
8. Re-evaluate backflow protections after remodels, tenant improvements, or equipment additions.