CLIA lab

CLIA 39D2235109: Aeo Hazle Township - Evernorth Direct Health

Hazleton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D2235109 belongs to Aeo Hazle Township - Evernorth Direct Health in Hazleton, PA.

Certificate of Waiver, effective September 7, 2025, expires September 6, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 7, 2025
Certificate expiration
September 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 7, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D2235109
Lab name
Aeo Hazle Township - Evernorth Direct Health
Address
600 Oak Ridge Rd, Hazleton, PA 18202
Phone
(480) 868-0646
Fax
(833) 985-1244

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Hazleton, PA

Related

Questions

What is the CLIA number for Aeo Hazle Township - Evernorth Direct Health in Hazleton?

39D2235109, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aeo Hazle Township - Evernorth Direct Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2235109 expire?

The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.

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