33D2162590 CLIA NUMBER - GATEWAY-LONGVIEW

Laboratory Demographics

  • CLIA Code: 33D2162590
  • Facility Name: GATEWAY-LONGVIEW
  • Facility Address: 6350 MAIN STREET
    WILLIAMSVILLE, NY
    ZIP 14221
  • Facility Phone: 716 783-3100
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TAKESHA L. LEONARD
  • NPI Number: 1710158134
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 33D2162590
LAB Type Comp. Outpatient Rehab Facility
Facility Name GATEWAY-LONGVIEW
Street 6350 MAIN STREET
City WILLIAMSVILLE
State NY
ZIP 14221
Phone 716 783-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2019
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director TAKESHA L. LEONARD

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