36D2196990 CLIA NUMBER - PINNACLE TREATMENT SERVICES OH-XI, LLC

Laboratory Demographics

  • CLIA Code: 36D2196990
  • Facility Name: PINNACLE TREATMENT SERVICES OH-XI, LLC
  • Facility Address: 1479 3RD STREET
    BRILLIANT, OH
    ZIP 43913
  • Facility Phone: 740 596-2054
  • Facility Type: Other - ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: SANJIT DHALIWAL
  • NPI Number: 1023621042
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2196990
LAB Type Other - ADDICTION TREATMENT
Facility Name PINNACLE TREATMENT SERVICES OH-XI, LLC
Street 1479 3RD STREET
City BRILLIANT
State OH
ZIP 43913
Phone 740 596-2054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Other - ADDICTION TREATMENT
Lab Director SANJIT DHALIWAL

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This page was last updated on: 6/4/2025