45D0055204 CLIA NUMBER - COVENANT MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 45D0055204
  • Facility Name: COVENANT MEDICAL CENTER LABORATORY
  • Facility Address: 3615 19TH STREET
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 793-0037
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JASON T. LOOS
  • NPI Number: 1720542632
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D0055204
LAB Type Hospital
Facility Name COVENANT MEDICAL CENTER LABORATORY
Street 3615 19TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 793-0037
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. JASON T. LOOS

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