31D2164200 CLIA NUMBER - EVERNORTH CARE PROVIDERS- NEW JERSEY PC

Laboratory Demographics

  • CLIA Code: 31D2164200
  • Facility Name: EVERNORTH CARE PROVIDERS- NEW JERSEY PC
  • Facility Address: 999 RIVERVIEW DRIVE 2ND FLOOR
    TOTOWA, NJ
    ZIP 07512
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN-HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: CHERYL HILTON
  • NPI Number: 1174874200
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 31D2164200
LAB Type Other - IN-HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS- NEW JERSEY PC
Street 999 RIVERVIEW DRIVE 2ND FLOOR
City TOTOWA
State NJ
ZIP 07512
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 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Other - IN-HOME PRIMARY CARE
Lab Director CHERYL HILTON

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