18D0320413 CLIA NUMBER - DAMON GATEWOOD,MD

Laboratory Demographics

  • CLIA Code: 18D0320413
  • Facility Name: DAMON GATEWOOD,MD
  • Facility Address: 58 CITATION LANE
    CAMPBELLSBURG, KY
    ZIP 40011
  • Facility Phone: 502 532-7341
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAMONN GATEWOOD
  • NPI Number: 1912974171
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0320413
LAB Type Physician Office
Facility Name DAMON GATEWOOD,MD
Street 58 CITATION LANE
City CAMPBELLSBURG
State KY
ZIP 40011
Phone 502 532-7341
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. DAMONN GATEWOOD

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