34D1047686 CLIA NUMBER - GATEWAY AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D1047686
  • Facility Name: GATEWAY AMBULATORY SURGERY CENTER
  • Facility Address: 1025 NORTHEAST GATEWAY COURT NE
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 920-7020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM GOGLIN
  • NPI Number: 1144312075
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1047686
LAB Type Ambulatory Surgery Center
Facility Name GATEWAY AMBULATORY SURGERY CENTER
Street 1025 NORTHEAST GATEWAY COURT NE
City CONCORD
State NC
ZIP 28025
Phone 704 920-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM GOGLIN

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