05D2304934 CLIA NUMBER - MALIBU DETOX

Laboratory Demographics

  • CLIA Code: 05D2304934
  • Facility Name: MALIBU DETOX
  • Facility Address: 22766 SADDLE PEAK
    TOPANGA, CA
    ZIP 90290
  • Facility Phone: 805 512-1694
  • Facility Type: Other - DETOX RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: LISA BENYA
  • NPI Number: 1316310857
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304934
LAB Type Other - DETOX RESIDENTIAL
Facility Name MALIBU DETOX
Street 22766 SADDLE PEAK
City TOPANGA
State CA
ZIP 90290
Phone 805 512-1694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Other - DETOX RESIDENTIAL
Lab Director LISA BENYA

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