03D2162160 CLIA NUMBER - GATEWAY URGENT CARE - GILBERT

Laboratory Demographics

CLIA Number: 03D2162160

Facility Name: GATEWAY URGENT CARE - GILBERT

Facility Address:
920 E WILLIAMS FIELD ROAD, SUITE 101
GILBERT, AZ
ZIP 85295
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Facility Phone Number: 480 499-0201

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265904247

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2162160
LAB Type	Physician Office
Facility Name	GATEWAY URGENT CARE - GILBERT
Street	920 E WILLIAMS FIELD ROAD, SUITE 101
City	GILBERT
State	AZ
ZIP	85295
Phone	480 499-0201
CertificateType	4
CertificateEffectiveDate	2/19/2023
CertificateExpirationDate	2/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024