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Covenant Lab Services
Clinical Laboratory Director (Non-physician) in Brandon, Florida
NPI 1053067215

Covenant Lab Services is a Clinical Laboratory Director (Non-physician) based in Tampa, FL and is specialized in Clinical Laboratory Director, Non-physician. Covenant Lab Services practices in Brandon, FL. The NPI Number for Covenant Lab Services is 1053067215 and holds a License No. (Florida).

The current practice location address for Covenant Lab Services is 110 Lithia Pinecrest Rd Ste H, Office D, Brandon, FL and can be reached out via phone at 813-851-3140 and via fax at 813-851-3141.

Location: 110 Lithia Pinecrest Rd Ste H, Office D, Brandon, FL, 33602-5226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053067215
Provider Name
Covenant Lab Services
Credential
Provider Entity Type
Organization
Address
110 Lithia Pinecrest Rd Ste H, Office D, Brandon, FL, 33602-5226
Phone Number
813-851-3140
Fax Number
813-851-3141
Provider Enumeration Date
02/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
110 Lithia Pinecrest Rd Ste H, Office D
City
Brandon
State
Florida
Zip
33511-5300
Phone Number
813-851-3140
Fax Number
813-851-3141
person
Provider Business Mailing Address Details
Address
110 Lithia Pinecrest Rd Ste H, Office D
City
Brandon
State
Florida
Zip
33511-5300
Phone Number
813-851-3140
Fax Number
813-851-3141
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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