10D2191617 CLIA NUMBER - PINNACLE WELLNESS GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2191617
  • Facility Name: PINNACLE WELLNESS GROUP LLC
  • Facility Address: 1680 SE LYNGATE DRIVE SUITE 204
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 222-5411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH PALESTRANT
  • NPI Number: 1780247064
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2191617
LAB Type Physician Office
Facility Name PINNACLE WELLNESS GROUP LLC
Street 1680 SE LYNGATE DRIVE SUITE 204
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 222-5411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director KENNETH PALESTRANT

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