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COVENANT LAB SERVICES
NPI 1053067215
Pathology - Clinical Laboratory Director, Non-physician in Brandon, FL

Active since February 25, 2022
110 LITHIA PINECREST RD STE H, OFFICE D, BRANDON, FL 33511(813) 851-3140(813) 851-3141 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Lab Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT LAB SERVICES (NPI 1053067215) is a healthcare organization registered as a clinical laboratory director, non-physician in Brandon, Florida and active in the NPI registry since February 2022. The organization lists Alicia Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1053067215
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NameCOVENANT LAB SERVICES
Location Address110 LITHIA PINECREST RD STE H, OFFICE DBrandon, FL 33511-5300
Mailing Address401 E Jackson St Ste 2340Tampa, FL 33602-5226 · (813) 851-3140 · Fax (813) 851-3141
Phone(813) 851-3140
Fax(813) 851-3141
Organization SubpartNo
Authorized OfficialAlicia TuckerOwner · (813) 851-3140
Enumeration DateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1053067215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
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.
110 LITHIA PINECREST RD STE H, OFFICE D, Brandon, FL 33511
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Lab Services's NPI number?

The NPI number for Covenant Lab Services is 1053067215. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Covenant Lab Services located?

Covenant Lab Services is located at 110 Lithia Pinecrest Rd Ste H, Office D, Brandon, FL 33511. The listed phone number is (813) 851-3140.

What is Covenant Lab Services's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Covenant Lab Services was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.