05D1061271 CLIA NUMBER - PINNACLE MEDICAL GROUP, INC

Laboratory Demographics

CLIA Number: 05D1061271

Facility Name: PINNACLE MEDICAL GROUP, INC

Facility Address:
10431 LEMON AVE STE N
RANCHO CUCAMONGA, CA
ZIP 91737
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Facility Phone Number: 909 822-1164

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194750745

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1061271
LAB Type	Physician Office
Facility Name	PINNACLE MEDICAL GROUP, INC
Street	10431 LEMON AVE STE N
City	RANCHO CUCAMONGA
State	CA
ZIP	91737
Phone	909 822-1164
CertificateType	4
CertificateEffectiveDate	5/16/2023
CertificateExpirationDate	5/15/2025
FacilityType	Waiver

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