34D2324991 CLIA NUMBER - COVENANTAL HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 34D2324991
  • Facility Name: COVENANTAL HEALTH, PLLC
  • Facility Address: 701 ROOSEVELT BLVD EAST, SUITE 800-A
    MONROE, NC
    ZIP 28112
  • Facility Phone: 704 772-1628
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TARA M. BOYD
  • NPI Number: 1194530642
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2324991
LAB Type Home Health Agency
Facility Name COVENANTAL HEALTH, PLLC
Street 701 ROOSEVELT BLVD EAST, SUITE 800-A
City MONROE
State NC
ZIP 28112
Phone 704 772-1628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Home Health Agency
Lab Director TARA M. BOYD

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