38D0706836 CLIA NUMBER - GATEWAY IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 38D0706836
  • Facility Name: GATEWAY IMMEDIATE CARE
  • Facility Address: 1321 NE 99TH AVE
    PORTLAND, OR
    ZIP 97220
  • Facility Phone: 503 215-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRAN BEYER
  • NPI Number: 1073604955
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0706836
LAB Type Physician Office
Facility Name GATEWAY IMMEDIATE CARE
Street 1321 NE 99TH AVE
City PORTLAND
State OR
ZIP 97220
Phone 503 215-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director KIRAN BEYER

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