06D2112899 CLIA NUMBER - GATEWAY TO SUCCESS

Laboratory Demographics

  • CLIA Code: 06D2112899
  • Facility Name: GATEWAY TO SUCCESS
  • Facility Address: 2429 S PRAIRIE AVE
    PUEBLO, CO
    ZIP 81005
  • Facility Phone: 719 564-5070
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAREN S. MORGANTHALER
  • NPI Number: 1275172967
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2112899
LAB Type Practitioner Other
Facility Name GATEWAY TO SUCCESS
Street 2429 S PRAIRIE AVE
City PUEBLO
State CO
ZIP 81005
Phone 719 564-5070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Practitioner Other
Lab Director KAREN S. MORGANTHALER

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