42D0249617 CLIA NUMBER - NOVANT HEALTH URGENT CARE SHANDON

Laboratory Demographics

  • CLIA Code: 42D0249617
  • Facility Name: NOVANT HEALTH URGENT CARE SHANDON
  • Facility Address: 2601 ROSEWOOD DRIVE
    COLUMBIA, SC
    ZIP 29205
  • Facility Phone: 803 782-4051
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. SHELLEY L. JANSSEN
  • NPI Number: 1700373339
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0249617
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH URGENT CARE SHANDON
Street 2601 ROSEWOOD DRIVE
City COLUMBIA
State SC
ZIP 29205
Phone 803 782-4051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Other - URGENT CARE
Lab Director DR. SHELLEY L. JANSSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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