14D2056626 CLIA NUMBER - PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2056626
  • Facility Name: PINNACLE DERMATOLOGY
  • Facility Address: 1870 SILVER CROSS BLVD #250
    NEW LENOX, IL
    ZIP 60451
  • Facility Phone: 815 463-8989
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MAXIM POLANSKY
  • NPI Number: 1437820214
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D2056626
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY
Street 1870 SILVER CROSS BLVD #250
City NEW LENOX
State IL
ZIP 60451
Phone 815 463-8989
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director MAXIM POLANSKY

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