CLIA lab
CLIA 05D2097769: Summit Malibu
Malibu, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2097769 belongs to Summit Malibu in Malibu, CA.
Certificate of Waiver, effective June 23, 2025, expires June 22, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2015
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2097769
- Lab name
- Summit Malibu
- Address
- 27026 Sea Vista Dr, Malibu, CA 90265
- Phone
- (310) 457-9977
- Fax
- (424) 644-0951
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Avalon Malibu - CottageCertificate of Waiver, Other05D2099605
- Avalon Malibu - GrandCertificate of Waiver, Other05D2052004
- Bailard House LLCCertificate of Waiver, Other05D2124809
- Broad Beach RetreatCertificate of Waiver, Other05D2155573
- Carrara Beach HouseCertificate of Waiver, Ancillary test site05D2296597
- Corral Canyon Recovery LLCCertificate of Waiver, Other05D2343058
- Jeff Harris MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0548356
- Lifesync Recovery and DetoxificationCertificate of Waiver, Other05D2129767
- Lifesync Recovery and Detoxification LLCCertificate of Waiver, Other05D2338906
Related
Questions
What is the CLIA number for Summit Malibu in Malibu?
05D2097769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Malibu hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2097769 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.