36D2062169 CLIA NUMBER - PINNACLE CARE PROVIDERS, LLC

Laboratory Demographics

  • CLIA Code: 36D2062169
  • Facility Name: PINNACLE CARE PROVIDERS, LLC
  • Facility Address: 4580 STEPHENS CIRCLE SUITE 202
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 754-4431
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN W. MCCLAIN
  • NPI Number: 1578799417
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2062169
LAB Type Physician Office
Facility Name PINNACLE CARE PROVIDERS, LLC
Street 4580 STEPHENS CIRCLE SUITE 202
City CANTON
State OH
ZIP 44718
Phone 330 754-4431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director BRIAN W. MCCLAIN

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