05D2097769 CLIA NUMBER - SUMMIT MALIBU

Laboratory Demographics

  • CLIA Code: 05D2097769
  • Facility Name: SUMMIT MALIBU
  • Facility Address: 27026 SEA VISTA DR
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 457-9977
  • Facility Type: Other - RESIDENTIAL DRUG FACILITY
  • Facility Type: Waiver
  • Lab Director: ABRAHAM MALKIN
  • NPI Number: 1508008582
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2097769
LAB Type Other - RESIDENTIAL DRUG FACILITY
Facility Name SUMMIT MALIBU
Street 27026 SEA VISTA DR
City MALIBU
State CA
ZIP 90265
Phone 310 457-9977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Other - RESIDENTIAL DRUG FACILITY
Lab Director ABRAHAM MALKIN

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