26D1027046 CLIA NUMBER - GATEWAY HEALTHCARE LTD

Laboratory Demographics

  • CLIA Code: 26D1027046
  • Facility Name: GATEWAY HEALTHCARE LTD
  • Facility Address: 7491 BIG BEND BLVD
    SAINT LOUIS, MO
    ZIP 63119
  • Facility Phone: 314 961-3038
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHRUKH KHAN
  • NPI Number: 1861408650
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D1027046
LAB Type Physician Office
Facility Name GATEWAY HEALTHCARE LTD
Street 7491 BIG BEND BLVD
City SAINT LOUIS
State MO
ZIP 63119
Phone 314 961-3038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director MAHRUKH KHAN

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