03D2120577 CLIA NUMBER - PINNACLE DERMATOLOGY, SC

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Laboratory Demographics

CLIA Number: 03D2120577

Facility Name: PINNACLE DERMATOLOGY, SC

Facility Address:
2394 N ALMA SCHOOL RD
CHANDLER, AZ
ZIP 85224
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Facility Phone Number: (815) 744-8554

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1528737715

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	03D2120577
LAB Type	PHYSICIAN OFFICE
Facility Name	PINNACLE DERMATOLOGY, SC
Street	2394 N ALMA SCHOOL RD
City	CHANDLER
State	AZ
ZIP	85224
Phone	(815) 744-8554

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This page was last updated on: 5/11/2023