45D2140918 CLIA NUMBER - HARRIS HEALTH COACH DBA EVERNORTH DIRECT HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 45D2140918
  • Facility Name: HARRIS HEALTH COACH DBA EVERNORTH DIRECT HEALTH, LLC
  • Facility Address: BEN TAUB GENERAL HOSPITAL 1504 TAUB LOOP HR # 108
    HOUSTON, TX
    ZIP 77030
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: LATECIA MURPHY
  • NPI Number: 1902983000
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 45D2140918
LAB Type Other - OUTPATIENT
Facility Name HARRIS HEALTH COACH DBA EVERNORTH DIRECT HEALTH, LLC
Street BEN TAUB GENERAL HOSPITAL 1504 TAUB LOOP HR # 108
City HOUSTON
State TX
ZIP 77030
Phone 480 868-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Other - OUTPATIENT
Lab Director LATECIA MURPHY

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