10D2155297 CLIA NUMBER - GATEWAY RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2155297

Facility Name: GATEWAY RECOVERY CENTER LLC

Facility Address:
1303 N STATE RD 7, STE B1
MARGATE, FL
ZIP 33063
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Facility Phone Number: 954 395-7444

Facility Type: Other - OUTPATIENT SUBSTANCE ABUS

Certificate Type: Waiver

NPI Number: 1306311626

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2155297
LAB Type	Other - OUTPATIENT SUBSTANCE ABUS
Facility Name	GATEWAY RECOVERY CENTER LLC
Street	1303 N STATE RD 7, STE B1
City	MARGATE
State	FL
ZIP	33063
Phone	954 395-7444
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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