10D0958155 CLIA NUMBER - COVENANT HOSPICE

Laboratory Demographics

  • CLIA Code: 10D0958155
  • Facility Name: COVENANT HOSPICE
  • Facility Address: 2852 REMINGTON GREEN CIRCLE, SUITE 101,
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 386-9161
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHASITY TEDFORD
  • NPI Number: 1528383254
  • Taxonomy: 251K00000X - Public Health or Welfare

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0958155
LAB Type Hospice
Facility Name COVENANT HOSPICE
Street 2852 REMINGTON GREEN CIRCLE, SUITE 101,
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 386-9161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Hospice
Lab Director CHASITY TEDFORD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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