44D2286564 CLIA NUMBER - COVENANT HEALTH DIAGNOSTICS, LLC

Laboratory Demographics

CLIA Number: 44D2286564

Facility Name: COVENANT HEALTH DIAGNOSTICS, LLC

Facility Address:
210 FORT SANDERS WEST BLVD, BLDG 3, SUITE 100
KNOXVILLE, TN
ZIP 37922
Get Directions

Facility Phone Number: 865 531-5400

Facility Type: Other - ODC/IDTF

Certificate Type: Waiver

NPI Number: 1255950895

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	44D2286564
LAB Type	Other - ODC/IDTF
Facility Name	COVENANT HEALTH DIAGNOSTICS, LLC
Street	210 FORT SANDERS WEST BLVD, BLDG 3, SUITE 100
City	KNOXVILLE
State	TN
ZIP	37922
Phone	865 531-5400
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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