10D2305135 CLIA NUMBER - EVERNORTH DIRECT HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2305135
  • Facility Name: EVERNORTH DIRECT HEALTH LLC
  • Facility Address: 100 NORTH ALASKA AVENUE
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: (480) 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: MICHAEL SOLER
  • NPI Number: 1336907955
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2305135
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH LLC
Street 100 NORTH ALASKA AVENUE
City KISSIMMEE
State FL
ZIP 34741
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 5/24/2026
Certificate Expiration Date 5/23/2028
Facility Type Other - OUTPATIENT
Lab Director MICHAEL SOLER

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