29D2230885 CLIA NUMBER - PINNACLE MEDICAL GROUP (HICKS) PC-LOS ALTOS PKWY

Laboratory Demographics

  • CLIA Code: 29D2230885
  • Facility Name: PINNACLE MEDICAL GROUP (HICKS) PC-LOS ALTOS PKWY
  • Facility Address: 5975 LOS ALTOS PKWY
    SPARKS, NV
    ZIP 89436
  • Facility Phone: 775 204-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD B. HICKS II
  • NPI Number: 1548869381
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 29D2230885
LAB Type Physician Office
Facility Name PINNACLE MEDICAL GROUP (HICKS) PC-LOS ALTOS PKWY
Street 5975 LOS ALTOS PKWY
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 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director RONALD B. HICKS II

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