03D2068311 CLIA NUMBER - PINNACLE CARE INTERNAL MEDICINE

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Laboratory Demographics

CLIA Number: 03D2068311

Facility Name: PINNACLE CARE INTERNAL MEDICINE

Facility Address:
9401 WEST THUNDERBIRD RD, SUITE 155
PEORIA, AZ
ZIP 85381
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Facility Phone Number: 623 249-2100

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1235383118

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2068311
LAB Type	Physician Office
Facility Name	PINNACLE CARE INTERNAL MEDICINE
Street	9401 WEST THUNDERBIRD RD, SUITE 155
City	PEORIA
State	AZ
ZIP	85381
Phone	623 249-2100
CertificateType	1
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024