35D2101808 CLIA NUMBER - GATEWAY PHARMACY SUNRISE

Laboratory Demographics

  • CLIA Code: 35D2101808
  • Facility Name: GATEWAY PHARMACY SUNRISE
  • Facility Address: 3103 YORKTOWN DR #2
    BISMARCK, ND
    ZIP 58503
  • Facility Phone: 701 425-0789
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON RICHARDS
  • NPI Number: 1275963308
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 35D2101808
LAB Type Pharmacy
Facility Name GATEWAY PHARMACY SUNRISE
Street 3103 YORKTOWN DR #2
City BISMARCK
State ND
ZIP 58503
Phone 701 425-0789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Pharmacy
Lab Director ALLISON RICHARDS

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