03D2114010 CLIA NUMBER - EVERNORTH HEALTH COACH ARIZONA DBA EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 03D2114010
  • Facility Name: EVERNORTH HEALTH COACH ARIZONA DBA EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: 8888 E RAINTREE DR STE 180
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUTPATIENT FACILITY
  • Facility Type: Waiver
  • Lab Director: TERESA K. HART
  • NPI Number: 1942866629
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2114010
LAB Type Other - OUTPATIENT FACILITY
Facility Name EVERNORTH HEALTH COACH ARIZONA DBA EVERNORTH DIRECT HEALTH, LLC
Street 8888 E RAINTREE DR STE 180
City SCOTTSDALE
State AZ
ZIP 85260
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 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Other - OUTPATIENT FACILITY
Lab Director TERESA K. HART

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025