38D2269771 CLIA NUMBER - GATEWAY LIVING

Laboratory Demographics

CLIA Code: 38D2269771
Facility Name: GATEWAY LIVING
Facility Address: 611 N CLOVERLEAF LOOP
SPRINGFIELD, OR
ZIP 97477
Facility Phone: 541 302-1283
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: RYAN C. HUDMAN
NPI Number: 1457594731
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	38D2269771
LAB Type	Assisted Living Facility
Facility Name	GATEWAY LIVING
Street	611 N CLOVERLEAF LOOP
City	SPRINGFIELD
State	OR
ZIP	97477
Phone	541 302-1283
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/3/2024
Certificate Expiration Date	10/2/2026
Facility Type	Assisted Living Facility
Lab Director	RYAN C. HUDMAN

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