Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Covenant Lab Services

Organization Clinical Laboratory Director (Non-physician) · NPI 1053067215

Covenant Lab Services is a Clinical Laboratory Director (Non-physician) in Brandon, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

110 Lithia Pinecrest Rd Ste H Ofc D
Brandon, FL 33511-5300
Phone: (813) 851-3140
Fax: (813) 851-3141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1053067215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Tucker — Owner · (813) 851-3140
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address401 E Jackson St Ste 2340, Tampa, FL 33602-5226