45D2300577 CLIA NUMBER - COVENANT MEDICAL GROUP-WESTFALL

Laboratory Demographics

  • CLIA Code: 45D2300577
  • Facility Name: COVENANT MEDICAL GROUP-WESTFALL
  • Facility Address: 4102-24TH SUITE 101 (NORTH)
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 725-9043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA WESTFALL
  • NPI Number: 1457401036
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2300577
LAB Type Physician Office
Facility Name COVENANT MEDICAL GROUP-WESTFALL
Street 4102-24TH SUITE 101 (NORTH)
City LUBBOCK
State TX
ZIP 79410
Phone 806 725-9043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director ANGELA WESTFALL

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