42D2193711 CLIA NUMBER - GATEWAY MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 42D2193711
  • Facility Name: GATEWAY MEDICAL, LLC
  • Facility Address: 171B MONROE LANE
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 358-8496
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. JESSICA COLEMAN
  • NPI Number: 1649647884
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2193711
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GATEWAY MEDICAL, LLC
Street 171B MONROE LANE
City LEXINGTON
State SC
ZIP 29072
Phone 803 358-8496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. JESSICA COLEMAN

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