05D2274693 CLIA NUMBER - SUMMIT LABORATORY INC

Laboratory Demographics

  • CLIA Code: 05D2274693
  • Facility Name: SUMMIT LABORATORY INC
  • Facility Address: 19231 VICTORY BLVD STE 205
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 697-0424
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINE L. RONGEY
  • NPI Number: 1598495186
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2274693
LAB Type Independent
Facility Name SUMMIT LABORATORY INC
Street 19231 VICTORY BLVD STE 205
City RESEDA
State CA
ZIP 91335
Phone 818 697-0424
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/9/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director CHRISTINE L. RONGEY

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