10D2275779 CLIA NUMBER - GATEWAY HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2275779
  • Facility Name: GATEWAY HEALTH SERVICES LLC
  • Facility Address: 2250 W OLD HWY 441
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 602-4789
  • Facility Type: Other - HOMEHEALTH
  • Facility Type: Waiver
  • Lab Director: SIMONE LOWMAN
  • NPI Number: 1952075913
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2275779
LAB Type Other - HOMEHEALTH
Facility Name GATEWAY HEALTH SERVICES LLC
Street 2250 W OLD HWY 441
City MOUNT DORA
State FL
ZIP 32757
Phone 352 602-4789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - HOMEHEALTH
Lab Director SIMONE LOWMAN

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This page was last updated on: 3/20/2025