11D2246195 CLIA NUMBER - COVENANT HEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2246195
  • Facility Name: COVENANT HEALTH PHARMACY
  • Facility Address: 7050 COOPER ROAD SUITE B
    GRAYSON, GA
    ZIP 30017
  • Facility Phone: 678 585-4962
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOY TEKOBO
  • NPI Number: 1861818858
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2246195
LAB Type Pharmacy
Facility Name COVENANT HEALTH PHARMACY
Street 7050 COOPER ROAD SUITE B
City GRAYSON
State GA
ZIP 30017
Phone 678 585-4962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Pharmacy
Lab Director JOY TEKOBO

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