COVENANT HIGH PLAINS SURGERY CENTER - 22ND STREET
NPI 1871608216
Clinic/Center - Ambulatory Surgical in Lubbock, TX

Active since August 19, 2006CLIA 45D1059123 · Waiver
3610 22ND STREET, LUBBOCK, TX 79410(806) 776-4772(806) 776-4777 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 7, 2023, Jan 19, 2023, Jul 1, 2021 and 2 more (5 updates tracked since 2016).

About Covenant High Plains Surgery Center - 22nd Street NPPES

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

COVENANT HIGH PLAINS SURGERY CENTER - 22ND STREET (NPI 1871608216) is a healthcare organization registered as an ambulatory surgical in Lubbock, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Shon Sanders, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1871608216
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOVENANT HIGH PLAINS SURGERY CENTER, LLC
Location Address3610 22ND STREETLubbock, TX 79410-1307
Mailing Address3610 22nd StreetLubbock, TX 79410-1307 · (806) 776-4772 · Fax (806) 776-4777
Fax(806) 776-4777
Organization SubpartNo
Authorized OfficialShon SandersAuthorized Official · (610) 644-8900
Enumeration DateAugust 19, 2006
Last NPPES UpdateJune 7, 20235 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1871608216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3610 22ND STREET, Lubbock, TX 79410

Other Names 1

Doing Business AsCovenant High Plains Surgery Center - 22nd Street

Other Identifiers 1

Medicaid186066001TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1059123

Covenant High Plains Surgery Center - 22nd Street · Lubbock, TX
Active · expires Sep 21, 2026
CLIA Number45D1059123
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorPhillip Scolaro
Laboratory Phone(806) 776-4772
Laboratory LocationCovenant High Plains Surgery Center - 22nd Street3610 22nd Street 1st Floor, Lubbock, TX 79424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
73 services32 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
65 services48 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services57 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
36 services31 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
33 services18 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
32 services12 patients

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 High Plains Surgery Center, LLC's NPI number?

The NPI number for Covenant High Plains Surgery Center, LLC is 1871608216. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider is doing business as Covenant High Plains Surgery Center - 22nd Street.

Where is Covenant High Plains Surgery Center, LLC located?

Covenant High Plains Surgery Center, LLC is located at 3610 22nd Street, Lubbock, TX 79410. The listed phone number is (806) 776-4772.

What is Covenant High Plains Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Covenant High Plains Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1059123) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Covenant High Plains Surgery Center, LLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Covenant High Plains Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant High Plains Surgery Center, LLC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.