25D2301599 CLIA NUMBER - EVERNORTH CARE PROVIDERS-TENNESSEE PC

Laboratory Demographics

  • CLIA Code: 25D2301599
  • Facility Name: EVERNORTH CARE PROVIDERS-TENNESSEE PC
  • Facility Address: 1000 HIGHLAND COLONY PKWY, BLDG 5000, SUITE 5203
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: CHERYL A. HILTON
  • NPI Number: 1619650041
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2301599
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS-TENNESSEE PC
Street 1000 HIGHLAND COLONY PKWY, BLDG 5000, SUITE 5203
City RIDGELAND
State MS
ZIP 39157
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Other - IN HOME PRIMARY CARE
Lab Director CHERYL A. HILTON

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