05D0881244 CLIA NUMBER - PINNACLE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0881244
  • Facility Name: PINNACLE MEDICAL GROUP
  • Facility Address: 1700 N WESTERN AVE
    SAN BERNARDINO, CA
    ZIP 92404
  • Facility Phone: 909 786-0844
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES SABBAH
  • NPI Number: 1447292248
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0881244
LAB Type Physician Office
Facility Name PINNACLE MEDICAL GROUP
Street 1700 N WESTERN AVE
City SAN BERNARDINO
State CA
ZIP 92404
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 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director CHARLES SABBAH

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