42D0253277 CLIA NUMBER - GATEWAY FAMILY MEDICINE OF TR

Laboratory Demographics

  • CLIA Code: 42D0253277
  • Facility Name: GATEWAY FAMILY MEDICINE OF TR
  • Facility Address: 406 NORTH POINSETT HWY
    TRAVELERS REST, SC
    ZIP 29690
  • Facility Phone: 864 834-4151
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES P. MACMILLAN
  • NPI Number: 1770543100
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0253277
LAB Type Physician Office
Facility Name GATEWAY FAMILY MEDICINE OF TR
Street 406 NORTH POINSETT HWY
City TRAVELERS REST
State SC
ZIP 29690
Phone 864 834-4151
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director DR. JAMES P. MACMILLAN

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