10D2174361 CLIA NUMBER - EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

CLIA Number: 10D2174361

Facility Name: EVERNORTH DIRECT HEALTH, LLC

Facility Address:
38771 JAMES WHEELER WAY
BELLE GLADE, FL
ZIP 33430
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Facility Phone Number: (480) 868-0646

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1194377085

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2174361
LAB Type	OTHER
Facility Name	EVERNORTH DIRECT HEALTH, LLC
Street	38771 JAMES WHEELER WAY
City	BELLE GLADE
State	FL
ZIP	33430
Phone	(480) 868-0646

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This page was last updated on: 5/11/2023