05D0666931 CLIA NUMBER - PINNACLE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0666931
  • Facility Name: PINNACLE MEDICAL GROUP
  • Facility Address: 1851 NORTH RIVERSIDE AVENUE
    RIALTO, CA
    ZIP 92376
  • Facility Phone: 909 786-0844
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES S. SABBAH, MD
  • NPI Number: 1548535446
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D0666931
LAB Type Physician Office
Facility Name PINNACLE MEDICAL GROUP
Street 1851 NORTH RIVERSIDE AVENUE
City RIALTO
State CA
ZIP 92376
Phone 909 786-0844
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHARLES S. SABBAH, MD

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