26D0994386 CLIA NUMBER - GATEWAY CARDIOLOGY PC

Laboratory Demographics

  • CLIA Code: 26D0994386
  • Facility Name: GATEWAY CARDIOLOGY PC
  • Facility Address: 10004 KENNERLY RD SUITE 185B
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: 314 729-0088
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NIZAR A. ASSI MD FACC
  • NPI Number: 1043267438
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0994386
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GATEWAY CARDIOLOGY PC
Street 10004 KENNERLY RD SUITE 185B
City SAINT LOUIS
State MO
ZIP 63128
Phone 314 729-0088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NIZAR A. ASSI MD FACC

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