45D1061553 CLIA NUMBER - COVENANT SPECIALTY HOSPITAL BLOOD GAS LAB 1ST FLOOR

Laboratory Demographics

  • CLIA Code: 45D1061553
  • Facility Name: COVENANT SPECIALTY HOSPITAL BLOOD GAS LAB 1ST FLOOR
  • Facility Address: 3815 20TH STREET
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 725-9200
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JACK SHANNON
  • NPI Number: 1538412895
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1061553
LAB Type Hospital
Facility Name COVENANT SPECIALTY HOSPITAL BLOOD GAS LAB 1ST FLOOR
Street 3815 20TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 725-9200
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 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Hospital
Lab Director DR. JACK SHANNON

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