24D1026919 CLIA NUMBER - PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 24D1026919
  • Facility Name: PINNACLE DERMATOLOGY
  • Facility Address: 625 EAST NICOLLET BLVD, SUITE 203
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 815 744-8554
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANGELA ROGERS
  • NPI Number: 1972274777
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1026919
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY
Street 625 EAST NICOLLET BLVD, SUITE 203
City BURNSVILLE
State MN
ZIP 55337
Phone 815 744-8554
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director ANGELA ROGERS

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