18D2192079 CLIA NUMBER - GATEWAY URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 18D2192079
  • Facility Name: GATEWAY URGENT CARE LLC
  • Facility Address: 2804 FREDERICA ST SUITE 1
    OWENSBORO, KY
    ZIP 42301
  • Facility Phone: 270 663-0955
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. KRYSTAL T. WRIGHT
  • NPI Number: 1124325865
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2192079
LAB Type Practitioner Other
Facility Name GATEWAY URGENT CARE LLC
Street 2804 FREDERICA ST SUITE 1
City OWENSBORO
State KY
ZIP 42301
Phone 270 663-0955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Practitioner Other
Lab Director MS. KRYSTAL T. WRIGHT

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