42D2053767 CLIA NUMBER - GATEWAY COUNSELING CENTER

Laboratory Demographics

  • CLIA Code: 42D2053767
  • Facility Name: GATEWAY COUNSELING CENTER
  • Facility Address: 219 HUMAN SERVICES ROAD
    CLINTON, SC
    ZIP 29325
  • Facility Phone: 864 833-6500
  • Facility Type: Other - SUB ABUSE OUTPT FACILITY
  • Facility Type: Waiver
  • Lab Director: LELAND J. NELSON
  • NPI Number: 1972532075
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2053767
LAB Type Other - SUB ABUSE OUTPT FACILITY
Facility Name GATEWAY COUNSELING CENTER
Street 219 HUMAN SERVICES ROAD
City CLINTON
State SC
ZIP 29325
Phone 864 833-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Other - SUB ABUSE OUTPT FACILITY
Lab Director LELAND J. NELSON

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