01D2301804 CLIA NUMBER - EVERNORTH CARE PROVIDERS - TENNESSEE PC

Laboratory Demographics

  • CLIA Code: 01D2301804
  • Facility Name: EVERNORTH CARE PROVIDERS - TENNESSEE PC
  • Facility Address: 2700 CORPORATE DRIVE, SUITE 200
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN WALSH
  • NPI Number: 1356128904
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 01D2301804
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - TENNESSEE PC
Street 2700 CORPORATE DRIVE, SUITE 200
City BIRMINGHAM
State AL
ZIP 35242
Phone 877 663-1333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director DR. STEPHEN WALSH

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