25D2065637 CLIA NUMBER - EVERNORTH DIRECT HEALTH LLC

Laboratory Demographics

  • CLIA Code: 25D2065637
  • Facility Name: EVERNORTH DIRECT HEALTH LLC
  • Facility Address: 600 HWY 32 E
    WATER VALLEY, MS
    ZIP 38965
  • Facility Phone: 662 473-5728
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: ASHLEY GRIFFITH
  • NPI Number: 1508441866
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2065637
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH DIRECT HEALTH LLC
Street 600 HWY 32 E
City WATER VALLEY
State MS
ZIP 38965
Phone 662 473-5728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Other - OUTPATIENT
Lab Director ASHLEY GRIFFITH

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