24D2313473 CLIA NUMBER - SUMMIT INTEGRATED SERVICES

Laboratory Demographics

  • CLIA Code: 24D2313473
  • Facility Name: SUMMIT INTEGRATED SERVICES
  • Facility Address: 4205 LANCASTER LN N STE 100
    PLYMOUTH, MN
    ZIP 55441
  • Facility Phone: 612 600-4575
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: ASAD HASSAN
  • NPI Number: 1174203335
  • Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit

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CLIA Record

Field Name Field Value
CLIA Number 24D2313473
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name SUMMIT INTEGRATED SERVICES
Street 4205 LANCASTER LN N STE 100
City PLYMOUTH
State MN
ZIP 55441
Phone 612 600-4575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director ASAD HASSAN

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