19D0893855 CLIA NUMBER - PINNACLE HOME HEALTH 2005

Laboratory Demographics

  • CLIA Code: 19D0893855
  • Facility Name: PINNACLE HOME HEALTH 2005
  • Facility Address: 5333 MAIN STREET
    ZACHARY, LA
    ZIP 70791
  • Facility Phone: 225 570-8628
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DANE GRANDT
  • NPI Number: 1124556287
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D0893855
LAB Type Home Health Agency
Facility Name PINNACLE HOME HEALTH 2005
Street 5333 MAIN STREET
City ZACHARY
State LA
ZIP 70791
Phone 225 570-8628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Home Health Agency
Lab Director DANE GRANDT

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