26D2044787 CLIA NUMBER - GATEWAY APOTHECARY

Laboratory Demographics

  • CLIA Code: 26D2044787
  • Facility Name: GATEWAY APOTHECARY
  • Facility Address: 4473 FOREST PARK AVENUE
    SAINT LOUIS, MO
    ZIP 63108
  • Facility Phone: 314 381-1818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL SIERBINSKI
  • NPI Number: 1730834540
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2044787
LAB Type Pharmacy
Facility Name GATEWAY APOTHECARY
Street 4473 FOREST PARK AVENUE
City SAINT LOUIS
State MO
ZIP 63108
Phone 314 381-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director RACHEL SIERBINSKI

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This page was last updated on: 6/4/2025