10D2320629 CLIA NUMBER - EVERNORTH DIRECT HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2320629
  • Facility Name: EVERNORTH DIRECT HEALTH LLC
  • Facility Address: 6000 W OSCEOLA PARKWAY
    KISSIMMEE, FL
    ZIP 34746
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUT PATIENT
  • Facility Type: Waiver
  • Lab Director: LINDA IGBINOBA
  • NPI Number: 1760214688
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2320629
LAB Type Other - OUT PATIENT
Facility Name EVERNORTH DIRECT HEALTH LLC
Street 6000 W OSCEOLA PARKWAY
City KISSIMMEE
State FL
ZIP 34746
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 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Other - OUT PATIENT
Lab Director LINDA IGBINOBA

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