34D2125306 CLIA NUMBER - GATES HOUSE

Laboratory Demographics

  • CLIA Code: 34D2125306
  • Facility Name: GATES HOUSE
  • Facility Address: 11 COMMERCE DRIVE
    GATESVILLE, NC
    ZIP 27938
  • Facility Phone: 252 357-1379
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KORIE FLEMING
  • NPI Number: 1306226253
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2125306
LAB Type Assisted Living Facility
Facility Name GATES HOUSE
Street 11 COMMERCE DRIVE
City GATESVILLE
State NC
ZIP 27938
Phone 252 357-1379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Assisted Living Facility
Lab Director KORIE FLEMING

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