36D2119091 CLIA NUMBER - PINNACLE INTEGRATED HEALTH LLC

Laboratory Demographics

  • CLIA Code: 36D2119091
  • Facility Name: PINNACLE INTEGRATED HEALTH LLC
  • Facility Address: 914 TRAILWOOD DR
    BOARDMAN, OH
    ZIP 44512
  • Facility Phone: (330) 758-6440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGATHA S. BEYNEN
  • NPI Number: 1407204639
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 36D2119091
LAB Type Physician Office
Facility Name PINNACLE INTEGRATED HEALTH LLC
Street 914 TRAILWOOD DR
City BOARDMAN
State OH
ZIP 44512
Phone 3307586440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director AGATHA S. BEYNEN

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This page was last updated on: 5/18/2026