42D0249151 CLIA NUMBER - NOVANT HEALTH URGENT CARE AUGUSTA ROAD

Laboratory Demographics

  • CLIA Code: 42D0249151
  • Facility Name: NOVANT HEALTH URGENT CARE AUGUSTA ROAD
  • Facility Address: 2836 AUGUSTA ROAD
    WEST COLUMBIA, SC
    ZIP 29170
  • Facility Phone: 803 782-4278
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHELLEY L. JANSSEN
  • NPI Number: 1528307550
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0249151
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE AUGUSTA ROAD
Street 2836 AUGUSTA ROAD
City WEST COLUMBIA
State SC
ZIP 29170
Phone 803 782-4278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - URGENT CARE
Lab Director SHELLEY L. JANSSEN

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