01D2081114 CLIA NUMBER - EVERNORTH DIRECT HEALTH LLC MOHAWK FLORENCE

Laboratory Demographics

  • CLIA Code: 01D2081114
  • Facility Name: EVERNORTH DIRECT HEALTH LLC MOHAWK FLORENCE
  • Facility Address: 834 RICKWOOD DR
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUT PATIENT
  • Facility Type: Waiver
  • Lab Director: MISTY CHESSOR
  • NPI Number: 1942990833
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2081114
LAB Type Other - OUT PATIENT
Facility Name EVERNORTH DIRECT HEALTH LLC MOHAWK FLORENCE
Street 834 RICKWOOD DR
City FLORENCE
State AL
ZIP 35630
Phone 480 868-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Other - OUT PATIENT
Lab Director MISTY CHESSOR

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This page was last updated on: 9/29/2025