34D2072531 CLIA NUMBER - COVENANT PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 34D2072531
  • Facility Name: COVENANT PEDIATRICS, PA
  • Facility Address: 10806 MONROE RD
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 704 321-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONIA O. EMEZIE
  • NPI Number: 1982921227
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2072531
LAB Type Physician Office
Facility Name COVENANT PEDIATRICS, PA
Street 10806 MONROE RD
City MATTHEWS
State NC
ZIP 28105
Phone 704 321-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director ANTHONIA O. EMEZIE

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