05D2147156 CLIA NUMBER - SUMMIT ESTATE, INC

Laboratory Demographics

  • CLIA Code: 05D2147156
  • Facility Name: SUMMIT ESTATE, INC
  • Facility Address: 399 OLD MILL POND RD
    LOS GATOS, CA
    ZIP 95033
  • Facility Phone: 800 701-6997
  • Facility Type: Other - ADDICTION TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: LISA M. BENYA
  • NPI Number: 1679857775
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2147156
LAB Type Other - ADDICTION TREATMENT CTR
Facility Name SUMMIT ESTATE, INC
Street 399 OLD MILL POND RD
City LOS GATOS
State CA
ZIP 95033
Phone 800 701-6997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Other - ADDICTION TREATMENT CTR
Lab Director LISA M. BENYA

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