45D2173043 CLIA NUMBER - GATEWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2173043
  • Facility Name: GATEWAY PHARMACY
  • Facility Address: 921 E FM 1187 SUITE A
    CROWLEY, TX
    ZIP 76036
  • Facility Phone: 817 297-2000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGGIE K. MANKARIOUS
  • NPI Number: 1356795678
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2173043
LAB Type Pharmacy
Facility Name GATEWAY PHARMACY
Street 921 E FM 1187 SUITE A
City CROWLEY
State TX
ZIP 76036
Phone 817 297-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director MAGGIE K. MANKARIOUS

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