10D2245119 CLIA NUMBER - EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2245119
  • Facility Name: EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: 15200 JOG ROAD #D3-5
    DELRAY BEACH, FL
    ZIP 33446
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: JESULA PETIT
  • NPI Number: 1609533017
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2245119
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH, LLC
Street 15200 JOG ROAD #D3-5
City DELRAY BEACH
State FL
ZIP 33446
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 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Other - OUTPATIENT
Lab Director JESULA PETIT

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: 9/29/2025