34D2136935 CLIA NUMBER - MT GILEAD HEALTHY LIFE CENTER DBA EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 34D2136935
  • Facility Name: MT GILEAD HEALTHY LIFE CENTER DBA EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: 149 HOMANIT ROAD
    MOUNT GILEAD, NC
    ZIP 27306
  • Facility Phone: (480) 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: NATASHA SALEHANI
  • NPI Number: 1508561846
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2136935
LAB Type Other - OUTPATIENT
Facility Name MT GILEAD HEALTHY LIFE CENTER DBA EVERNORTH DIRECT HEALTH, LLC
Street 149 HOMANIT ROAD
City MOUNT GILEAD
State NC
ZIP 27306
Phone 4808680646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Other - OUTPATIENT
Lab Director NATASHA SALEHANI

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This page was last updated on: 6/29/2026