50D2201120 CLIA NUMBER - PINNACLE DERMATOLOGY AND SKIN REJUVENATION

Laboratory Demographics

  • CLIA Code: 50D2201120
  • Facility Name: PINNACLE DERMATOLOGY AND SKIN REJUVENATION
  • Facility Address: 1515 116TH AVE NE STE 307
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 999-2628
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DE ETTA GRAY
  • NPI Number: 1588897102
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2201120
LAB Type Physician Office
Facility Name PINNACLE DERMATOLOGY AND SKIN REJUVENATION
Street 1515 116TH AVE NE STE 307
City BELLEVUE
State WA
ZIP 98004
Phone 425 999-2628
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 11/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DE ETTA GRAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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