05D2214236 CLIA NUMBER - GATEWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2214236
  • Facility Name: GATEWAY PHARMACY
  • Facility Address: 1330 GATEWAY BLVD
    FAIRFIELD, CA
    ZIP 94533
  • Facility Phone: 707 422-0500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI SARHADDI
  • NPI Number: 1437432234
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2214236
LAB Type Pharmacy
Facility Name GATEWAY PHARMACY
Street 1330 GATEWAY BLVD
City FAIRFIELD
State CA
ZIP 94533
Phone 707 422-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Pharmacy
Lab Director ALI SARHADDI

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