14D2309813 CLIA NUMBER - EVERNORTH CARE PROVIDERS - DELAWARE PA

Laboratory Demographics

  • CLIA Code: 14D2309813
  • Facility Name: EVERNORTH CARE PROVIDERS - DELAWARE PA
  • Facility Address: 332 S MICHIGAN AVE - STE 900
    CHICAGO, IL
    ZIP 60604
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: SHANNON ALSOP
  • NPI Number: 1558118281
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2309813
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - DELAWARE PA
Street 332 S MICHIGAN AVE - STE 900
City CHICAGO
State IL
ZIP 60604
Phone 877 663-1333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director SHANNON ALSOP

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