06D2112901 CLIA NUMBER - GATEWAY TO SUCCESS

Laboratory Demographics

  • CLIA Code: 06D2112901
  • Facility Name: GATEWAY TO SUCCESS
  • Facility Address: 602 YALE PLACE
    CANON CITY, CO
    ZIP 81212
  • Facility Phone: (719) 275-0700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAREN S. MORGANTHALER
  • NPI Number: 1477144756
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2112901
LAB Type Practitioner Other
Facility Name GATEWAY TO SUCCESS
Street 602 YALE PLACE
City CANON CITY
State CO
ZIP 81212
Phone 7192750700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2026
Certificate Expiration Date 5/10/2028
Facility Type Practitioner Other
Lab Director KAREN S. MORGANTHALER

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This page was last updated on: 5/18/2026