33D2232865 CLIA NUMBER - GATEWAY DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 33D2232865
  • Facility Name: GATEWAY DERMATOLOGY PC
  • Facility Address: 1 SOUTH WESTERN AVE
    GLENS FALLS, NY
    ZIP 12801
  • Facility Phone: 518 745-5280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN C. VERRAL
  • NPI Number: 1851599047
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2232865
LAB Type Physician Office
Facility Name GATEWAY DERMATOLOGY PC
Street 1 SOUTH WESTERN AVE
City GLENS FALLS
State NY
ZIP 12801
Phone 518 745-5280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director DR. STEPHEN C. VERRAL

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