34D0695360 CLIA NUMBER - PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 34D0695360
  • Facility Name: PINNACLE DERMATOLOGY
  • Facility Address: 3111 SPRINGBANK LANE STE J
    CHARLOTTE, NC
    ZIP 28226
  • Facility Phone: 704 325-5881
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PADMA V. CHITNAVIS
  • NPI Number: 1790506673
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D0695360
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY
Street 3111 SPRINGBANK LANE STE J
City CHARLOTTE
State NC
ZIP 28226
Phone 704 325-5881
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 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director PADMA V. CHITNAVIS

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