10D2260561 CLIA NUMBER - PINNACLE HEALTH GROUP PA

Laboratory Demographics

  • CLIA Code: 10D2260561
  • Facility Name: PINNACLE HEALTH GROUP PA
  • Facility Address: 1601 W REYNOLDS ST STE 201
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 874-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAM DIASTI
  • NPI Number: 1720738669
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2260561
LAB Type Physician Office
Facility Name PINNACLE HEALTH GROUP PA
Street 1601 W REYNOLDS ST STE 201
City PLANT CITY
State FL
ZIP 33563
Phone 813 874-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director SAM DIASTI

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This page was last updated on: 3/20/2025