| Entity Name: | COVENANT LAB SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jan 2022 (3 years ago) |
| Document Number: | L22000016749 |
| FEI/EIN Number | 874296336 |
| Address: | 7402 North 56th Street, Suite 355, Tampa, FL, 33617, US |
| Mail Address: | 6421 N. Florida Ave D-1395, TAMPA, FL, 33604, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053067215 | 2022-02-25 | 2022-02-25 | 401 E JACKSON ST STE 2340, TAMPA, FL, 336025226, US | 110 LITHIA PINECREST RD STE H, OFFICE D, BRANDON, FL, 335115300, US | |||||||||||||||
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| Phone | +1 813-851-3140 |
| Fax | 8138513141 |
Authorized person
| Name | MRS. ALICIA TUCKER |
| Role | OWNER |
| Phone | 8138513140 |
Taxonomy
| Taxonomy Code | 247ZC0005X - Clinical Laboratory Director (Non-physician) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUCKER ALICIA | Agent | 6421 N. Florida Ave D-1395, TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| TUCKER MAURICE N | Authorized Member | 6421 N. Florida Ave D-1395, TAMPA, FL, 33604 |
| TUCKER ALICIA | Authorized Member | 6421 N. Florida Ave D-1395, TAMPA, FL, 33604 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000154283 | COVENANT CERTIFIED SOLUTIONS | ACTIVE | 2024-12-19 | 2029-12-31 | No data | 7402 N 56TH STREET STE 355, TAMPA, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-22 | 7402 North 56th Street, Suite 355, Tampa, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 7402 North 56th Street, Suite 355, Tampa, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 6421 N. Florida Ave D-1395, TAMPA, FL 33604 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-24 |
| Florida Limited Liability | 2022-01-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
