05D2006387 CLIA NUMBER - SUMMIT PSYCHOTHERAPY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2006387
  • Facility Name: SUMMIT PSYCHOTHERAPY ASSOCIATES
  • Facility Address: 3610 AMERICAN RIVER DR STE 140
    SACRAMENTO, CA
    ZIP 95864
  • Facility Phone: 916 426-1646
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: JENNIFER JOHNSON
  • NPI Number: 1700054020
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2006387
LAB Type Other - BEHAVIORAL HEALTH
Facility Name SUMMIT PSYCHOTHERAPY ASSOCIATES
Street 3610 AMERICAN RIVER DR STE 140
City SACRAMENTO
State CA
ZIP 95864
Phone 916 426-1646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director JENNIFER JOHNSON

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