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44D2100921 CLIA NUMBER - COVENANT MEDICAL- FAIRVIEW

Laboratory Demographics

CLIA Number: 44D2100921

Facility Name: COVENANT MEDICAL- FAIRVIEW

Facility Address:
2340 FAIRVIEW BLVD SUITE 600D
FAIRVIEW, TN
ZIP 37062
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Facility Phone Number: 615 441-6140

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1164099339

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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 615 441-6140
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024