03D2318236 CLIA NUMBER - GATEWAY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 03D2318236
  • Facility Name: GATEWAY WELLNESS CENTER
  • Facility Address: 3707 E SOUTHERN AVE STE 2011
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 331-5187
  • Facility Type: Other - OUTPATIENT TREATMENT CENT
  • Facility Type: Waiver
  • Lab Director: JEFF GLOVER
  • NPI Number: 1922866532
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2318236
LAB Type Other - OUTPATIENT TREATMENT CENT
Facility Name GATEWAY WELLNESS CENTER
Street 3707 E SOUTHERN AVE STE 2011
City MESA
State AZ
ZIP 85206
Phone 480 331-5187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Other - OUTPATIENT TREATMENT CENT
Lab Director JEFF GLOVER

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