34D2318172 CLIA NUMBER - EVERNORTH CARE PROVIDERS - TENNESSEE PC

Laboratory Demographics

  • CLIA Code: 34D2318172
  • Facility Name: EVERNORTH CARE PROVIDERS - TENNESSEE PC
  • Facility Address: 555S MAGNUM STREET, SUITE 100
    DURHAM, NC
    ZIP 27701
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: CHERYL HILTON
  • NPI Number: 1821869835
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D2318172
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - TENNESSEE PC
Street 555S MAGNUM STREET, SUITE 100
City DURHAM
State NC
ZIP 27701
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 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Other - IN HOME PRIMARY CARE
Lab Director CHERYL HILTON

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