10D2311114 CLIA NUMBER - EVERNORTH DIRECT HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2311114
  • Facility Name: EVERNORTH DIRECT HEALTH LLC
  • Facility Address: 2950 LAKESHORE BLVD
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: KIMBERLY HUTTON
  • NPI Number: 1336986256
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2311114
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH LLC
Street 2950 LAKESHORE BLVD
City SAINT CLOUD
State FL
ZIP 34769
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 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Other - OUTPATIENT
Lab Director KIMBERLY HUTTON

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