50D2083332 CLIA NUMBER - GATEWAY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D2083332
  • Facility Name: GATEWAY PRIMARY CARE
  • Facility Address: 106 N 1ST ST
    ELMA, WA
    ZIP 98541
  • Facility Phone: 360 482-2851
  • Facility Type: Other - ARNP
  • Facility Type: Microscopy
  • Lab Director: KERRY G. PETERSON

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CLIA Record

Field Name Field Value
CLIA Number 50D2083332
LAB Type Other - ARNP
Facility Name GATEWAY PRIMARY CARE
Street 106 N 1ST ST
City ELMA
State WA
ZIP 98541
Phone 360 482-2851
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 9/3/2014
Certificate Expiration Date 4/4/2028
Facility Type Other - ARNP
Lab Director KERRY G. PETERSON

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