10D2297697 CLIA NUMBER - EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2297697
  • Facility Name: EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: 319 N PIERCE ST
    TAMPA, FL
    ZIP 33602
  • Facility Phone: (480) 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: NICOLE AYCART
  • NPI Number: 1346020567
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2297697
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH, LLC
Street 319 N PIERCE ST
City TAMPA
State FL
ZIP 33602
Phone 4808680646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2026
Certificate Expiration Date 1/18/2028
Facility Type Other - OUTPATIENT
Lab Director NICOLE AYCART

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This page was last updated on: 5/18/2026