11D2057903 CLIA NUMBER - COVENANT COMMUNITY, INC

Laboratory Demographics

  • CLIA Code: 11D2057903
  • Facility Name: COVENANT COMMUNITY, INC
  • Facility Address: 623 SPRING STREET, NW
    ATLANTA, GA
    ZIP 30308
  • Facility Phone: 404 823-7773
  • Facility Type: Other - RES DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: TAMIKA STEWART
  • NPI Number: 1740491828
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2057903
LAB Type Other - RES DRUG TREATMENT
Facility Name COVENANT COMMUNITY, INC
Street 623 SPRING STREET, NW
City ATLANTA
State GA
ZIP 30308
Phone 404 823-7773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Other - RES DRUG TREATMENT
Lab Director TAMIKA STEWART

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