15D2310439 CLIA NUMBER - EVERNORTH CARE PROVIDERS - DELAWARE PA

Laboratory Demographics

  • CLIA Code: 15D2310439
  • Facility Name: EVERNORTH CARE PROVIDERS - DELAWARE PA
  • Facility Address: 8888 KEYSTONE CROSSING, SUITE 1300
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: SHANNON ALSOP
  • NPI Number: 1013795053
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 15D2310439
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - DELAWARE PA
Street 8888 KEYSTONE CROSSING, SUITE 1300
City INDIANAPOLIS
State IN
ZIP 46240
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 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director SHANNON ALSOP

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