44D0307430 CLIA NUMBER - PINNACLE DERMATOLOGY DBA PINNACLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 44D0307430
  • Facility Name: PINNACLE DERMATOLOGY DBA PINNACLE DERMATOLOGY
  • Facility Address: 201 BLUEBIRD DR
    GOODLETTSVILLE, TN
    ZIP 37072
  • Facility Phone: 615 591-2547
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEITH H. LOVEN
  • NPI Number: 1003311259
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D0307430
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY DBA PINNACLE DERMATOLOGY
Street 201 BLUEBIRD DR
City GOODLETTSVILLE
State TN
ZIP 37072
Phone 615 591-2547
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 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director KEITH H. LOVEN

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