05D2127989 CLIA NUMBER - PINNACLE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2127989
  • Facility Name: PINNACLE MEDICAL GROUP
  • Facility Address: 34675 YUCIAPA BLVD STE 105
    YUCAIPA, CA
    ZIP 92399
  • Facility Phone: 909 500-7971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES S. SABBAH MD
  • NPI Number: 1760727994
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2127989
LAB Type Physician Office
Facility Name PINNACLE MEDICAL GROUP
Street 34675 YUCIAPA BLVD STE 105
City YUCAIPA
State CA
ZIP 92399
Phone 909 500-7971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director CHARLES S. SABBAH MD

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