11D2279240 CLIA NUMBER - GATEWAY COMMUNITY SERVICE BOARD STRIVE CLINIC

Laboratory Demographics

  • CLIA Code: 11D2279240
  • Facility Name: GATEWAY COMMUNITY SERVICE BOARD STRIVE CLINIC
  • Facility Address: 800 EAST 70TH STREET
    SAVANNAH, GA
    ZIP 31405
  • Facility Phone: 912 358-2593
  • Facility Type: Other - MH/SUD/IDD OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: CATHERINE THOMPSON
  • NPI Number: 1962584193
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2279240
LAB Type Other - MH/SUD/IDD OUTPATIENT
Facility Name GATEWAY COMMUNITY SERVICE BOARD STRIVE CLINIC
Street 800 EAST 70TH STREET
City SAVANNAH
State GA
ZIP 31405
Phone 912 358-2593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Other - MH/SUD/IDD OUTPATIENT
Lab Director CATHERINE THOMPSON

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