46D2303122 CLIA NUMBER - EVERNORTH CARE PROVIDERS - ARIZONA PC

Laboratory Demographics

  • CLIA Code: 46D2303122
  • Facility Name: EVERNORTH CARE PROVIDERS - ARIZONA PC
  • Facility Address: 3450 N TRIUMPH BLVD, SUITE 102
    LEHI, UT
    ZIP 84043
  • Facility Phone: 877 663-1333
  • Facility Type: Other - IN HOME PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: CHERYL A. HILTON
  • NPI Number: 1033971957
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 46D2303122
LAB Type Other - IN HOME PRIMARY CARE
Facility Name EVERNORTH CARE PROVIDERS - ARIZONA PC
Street 3450 N TRIUMPH BLVD, SUITE 102
City LEHI
State UT
ZIP 84043
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 4/22/2024
Certificate Expiration Date 4/21/2026
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