10D2253913 CLIA NUMBER - COVENANT LAB SERVICES

Laboratory Demographics

  • CLIA Code: 10D2253913
  • Facility Name: COVENANT LAB SERVICES
  • Facility Address: 7402 N 56TH ST - STE 355
    TAMPA, FL
    ZIP 33617
  • Facility Phone: 813 449-0997
  • Facility Type: Other - TEMPORARY TESTING SITE
  • Facility Type: Waiver
  • Lab Director: ALICIA TUCKER
  • NPI Number: 1053067215
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2253913
LAB Type Other - TEMPORARY TESTING SITE
Facility Name COVENANT LAB SERVICES
Street 7402 N 56TH ST - STE 355
City TAMPA
State FL
ZIP 33617
Phone 813 449-0997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Other - TEMPORARY TESTING SITE
Lab Director ALICIA TUCKER

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