15D2280963 CLIA NUMBER - PINNACLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D2280963
  • Facility Name: PINNACLE PRIMARY CARE
  • Facility Address: 720 W 5TH AVE
    GARY, IN
    ZIP 46402
  • Facility Phone: 219 795-1890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RASHID ANSARI
  • NPI Number: 1922546530
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2280963
LAB Type Physician Office
Facility Name PINNACLE PRIMARY CARE
Street 720 W 5TH AVE
City GARY
State IN
ZIP 46402
Phone 219 795-1890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director DR. RASHID ANSARI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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