29D1015353 CLIA NUMBER - PINNACLE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 29D1015353
  • Facility Name: PINNACLE MEDICAL GROUP
  • Facility Address: 4868 SPARKS BLVD STE 102
    SPARKS, NV
    ZIP 89436
  • Facility Phone: 775 204-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN ASTROM
  • NPI Number: 1124006044
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D1015353
LAB Type Physician Office
Facility Name PINNACLE MEDICAL GROUP
Street 4868 SPARKS BLVD STE 102
City SPARKS
State NV
ZIP 89436
Phone 775 204-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director KRISTIN ASTROM

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