44D0897274 CLIA NUMBER - COVENANT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 44D0897274
  • Facility Name: COVENANT PEDIATRICS
  • Facility Address: 421 OLD RICEVILLE RD SUITE 2
    ATHENS, TN
    ZIP 37303
  • Facility Phone: 423 744-8755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KIMBERLY T. BREEDEN
  • NPI Number: 1659670412
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0897274
LAB Type Physician Office
Facility Name COVENANT PEDIATRICS
Street 421 OLD RICEVILLE RD SUITE 2
City ATHENS
State TN
ZIP 37303
Phone 423 744-8755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director DR. KIMBERLY T. BREEDEN

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