10D2031194 CLIA NUMBER - EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2031194
  • Facility Name: EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: 14311 METROPOLIS AVE - STE 102
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: DANIELLE FAULKNER
  • NPI Number: 1063063089
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2031194
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH, LLC
Street 14311 METROPOLIS AVE - STE 102
City FORT MYERS
State FL
ZIP 33912
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 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Other - OUTPATIENT
Lab Director DANIELLE FAULKNER

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