17D2194255 CLIA NUMBER - PINNACLE PHARMACY GROUP, INC DBA CHS PHARMACY

Laboratory Demographics

  • CLIA Code: 17D2194255
  • Facility Name: PINNACLE PHARMACY GROUP, INC DBA CHS PHARMACY
  • Facility Address: 202 N MAIN STREET
    CIMARRON, KS
    ZIP 67835
  • Facility Phone: (620) 855-2055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. COAST
  • NPI Number: 1942474135
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2194255
LAB Type Pharmacy
Facility Name PINNACLE PHARMACY GROUP, INC DBA CHS PHARMACY
Street 202 N MAIN STREET
City CIMARRON
State KS
ZIP 67835
Phone 6208552055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Pharmacy
Lab Director MICHAEL E. COAST

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This page was last updated on: 5/15/2026