44D0664260 CLIA NUMBER - COVENANT MEDICAL GROUP DBA HEARTLAND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 44D0664260
  • Facility Name: COVENANT MEDICAL GROUP DBA HEARTLAND PRIMARY CARE
  • Facility Address: 309 N BROAD STREET
    NEW TAZEWELL, TN
    ZIP 37825
  • Facility Phone: 423 626-7297
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LUIS C. PANNOCCHIA
  • NPI Number: 1215399654
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0664260
LAB Type Physician Office
Facility Name COVENANT MEDICAL GROUP DBA HEARTLAND PRIMARY CARE
Street 309 N BROAD STREET
City NEW TAZEWELL
State TN
ZIP 37825
Phone 423 626-7297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director DR. LUIS C. PANNOCCHIA

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