45D2314646 CLIA NUMBER - COVENANT MEDICAL GROUP PEDIATRICS MARSHA SHARP

Laboratory Demographics

  • CLIA Code: 45D2314646
  • Facility Name: COVENANT MEDICAL GROUP PEDIATRICS MARSHA SHARP
  • Facility Address: 4515 MARSHA SHARP FWY W 1ST FLOOR CENTRAL
    LUBBOCK, TX
    ZIP 79407
  • Facility Phone: 806 725-9043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUGHN NUNEZ
  • NPI Number: 1417381187
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2314646
LAB Type Physician Office
Facility Name COVENANT MEDICAL GROUP PEDIATRICS MARSHA SHARP
Street 4515 MARSHA SHARP FWY W 1ST FLOOR CENTRAL
City LUBBOCK
State TX
ZIP 79407
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 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director SHAUGHN NUNEZ

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