39D0178500 CLIA NUMBER - GATEWAY MED GROUP UPMC CARNEGIE

Laboratory Demographics

  • CLIA Code: 39D0178500
  • Facility Name: GATEWAY MED GROUP UPMC CARNEGIE
  • Facility Address: 1100 WASHINGTON AVENUE, SUITE 115
    CARNEGIE, PA
    ZIP 15106
  • Facility Phone: 412 279-8940
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. AMITA MITAL
  • NPI Number: 1811936255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D0178500
LAB Type Independent
Facility Name GATEWAY MED GROUP UPMC CARNEGIE
Street 1100 WASHINGTON AVENUE, SUITE 115
City CARNEGIE
State PA
ZIP 15106
Phone 412 279-8940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Independent
Lab Director DR. AMITA MITAL

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This page was last updated on: 6/4/2025