18D2305823 CLIA NUMBER - EVERNORTH CARE PROVIDERS - TENNESSEE PC

Laboratory Demographics

  • CLIA Code: 18D2305823
  • Facility Name: EVERNORTH CARE PROVIDERS - TENNESSEE PC
  • Facility Address: 1040 MONARCH ST,3RD FLOOR
    LEXINGTON, KY
    ZIP 40513
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: DR. CHERYL A. HILTON
  • NPI Number: 1831979335
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2305823
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - TENNESSEE PC
Street 1040 MONARCH ST,3RD FLOOR
City LEXINGTON
State KY
ZIP 40513
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 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director DR. CHERYL A. HILTON

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