44D2100921 CLIA NUMBER - COVENANT MEDICAL- FAIRVIEW

Laboratory Demographics

  • CLIA Code: 44D2100921
  • Facility Name: COVENANT MEDICAL- FAIRVIEW
  • Facility Address: 2340 FAIRVIEW BLVD SUITE 600D
    FAIRVIEW, TN
    ZIP 37062
  • Facility Phone: 615 266-2177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER STEPHENS
  • NPI Number: 1164099339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2100921
LAB Type Physician Office
Facility Name COVENANT MEDICAL- FAIRVIEW
Street 2340 FAIRVIEW BLVD SUITE 600D
City FAIRVIEW
State TN
ZIP 37062
Phone 615 266-2177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director WALTER STEPHENS

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