07D2310351 CLIA NUMBER - EVERNORTH CARE PROVIDERS -DELAWARE PA

Laboratory Demographics

  • CLIA Code: 07D2310351
  • Facility Name: EVERNORTH CARE PROVIDERS -DELAWARE PA
  • Facility Address: 1224 MILL STREET, BLDG B SUITE 224
    EAST BERLIN, CT
    ZIP 06023
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: SHANNON ALSOP
  • NPI Number: 1437803012
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2310351
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS -DELAWARE PA
Street 1224 MILL STREET, BLDG B SUITE 224
City EAST BERLIN
State CT
ZIP 06023
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 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director SHANNON ALSOP

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