44D2125380 CLIA NUMBER - COVENANT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D2125380
  • Facility Name: COVENANT FAMILY PRACTICE
  • Facility Address: 236 UFFELMAN DRIVE
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 245-1692
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT A. WILSON
  • NPI Number: 1225073166
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2125380
LAB Type Physician Office
Facility Name COVENANT FAMILY PRACTICE
Street 236 UFFELMAN DRIVE
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 245-1692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director DR. ROBERT A. WILSON

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