45D2298278 CLIA NUMBER - COVENANT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2298278
  • Facility Name: COVENANT MEDICAL GROUP
  • Facility Address: 4102-24TH SUTIE 412
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 725-7640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER LYNN PHY
  • NPI Number: 1548215379
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2298278
LAB Type Physician Office
Facility Name COVENANT MEDICAL GROUP
Street 4102-24TH SUTIE 412
City LUBBOCK
State TX
ZIP 79410
Phone 806 725-7640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director JENNIFER LYNN PHY

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