15D0362431 CLIA NUMBER - PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 15D0362431
  • Facility Name: PINNACLE DERMATOLOGY
  • Facility Address: 1601 LAFAYETTE RD, SUITE 100
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 362-1212
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RENATO GORESHI
  • NPI Number: 1619648326
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 15D0362431
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY
Street 1601 LAFAYETTE RD, SUITE 100
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 362-1212
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 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director RENATO GORESHI

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