34D1078140 CLIA NUMBER - COVENANT VILLAGE

Laboratory Demographics

  • CLIA Code: 34D1078140
  • Facility Name: COVENANT VILLAGE
  • Facility Address: 1351 ROBINWOOD RD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 867-2319
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN T. STEWART
  • NPI Number: 1871822825
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1078140
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COVENANT VILLAGE
Street 1351 ROBINWOOD RD
City GASTONIA
State NC
ZIP 28054
Phone 704 867-2319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KEVIN T. STEWART

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