14D2250212 CLIA NUMBER - PINNACLE GASTROENTEROLOGY SC

Laboratory Demographics

  • CLIA Code: 14D2250212
  • Facility Name: PINNACLE GASTROENTEROLOGY SC
  • Facility Address: 3 N MAIN ST
    MANTENO, IL
    ZIP 60950
  • Facility Phone: 833 368-8688
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: UMESH KAPUR
  • NPI Number: 1578235883
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2250212
LAB Type Physician Office
Facility Name PINNACLE GASTROENTEROLOGY SC
Street 3 N MAIN ST
City MANTENO
State IL
ZIP 60950
Phone 833 368-8688
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 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director UMESH KAPUR

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