21D1105389 CLIA NUMBER - GATEWAY PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 21D1105389
  • Facility Name: GATEWAY PEDIATRICS PA
  • Facility Address: 1415 WESLEY DR
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 912-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. WEHBERG
  • NPI Number: 1679106538
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1105389
LAB Type Physician Office
Facility Name GATEWAY PEDIATRICS PA
Street 1415 WESLEY DR
City SALISBURY
State MD
ZIP 21801
Phone 410 912-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director JENNIFER L. WEHBERG

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