24D2257436 CLIA NUMBER - PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 24D2257436
  • Facility Name: PINNACLE DERMATOLOGY
  • Facility Address: 1620 WEST LAKE STREET
    MINNEAPOLIS, MN
    ZIP 55408
  • Facility Phone: 815 744-8554
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT ROSS
  • NPI Number: 1396416186
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2257436
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY
Street 1620 WEST LAKE STREET
City MINNEAPOLIS
State MN
ZIP 55408
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 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director SCOTT ROSS

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